NPI 1578523577

James M Clark, DO

Practitioner Emergency Medicine Physician Moscow, ID

Practice location

Address: 700 S Main St, Moscow, ID 83843
Phone: (208) 882-4511
Mailing address: 700 S Main St, Moscow, ID 83843-3046

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence O-272 (ID)

Other Emergency Medicine providers in Idaho →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OP00001738 (WA)

Registry record

NPI: 1578523577
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 16 Apr 2019

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.