Whalio Doctors

NPI 1326152927

Clay Christian Prince, MD

Practitioner Family Medicine Physician Rexburg, ID

Practice location

Address
10 Madison Professional Park, Rexburg, ID 83440-2058
Phone
(208) 656-9467
Fax
(208) 656-9466

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M9089 (ID)

Registry record

NPI
1326152927
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Aug 2006
Record last updated
3 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.