NPI 1578527115

Leroy a Clark, MD

Practitioner Family Medicine Physician Sisseton, SD

Practice location

Address: 100 Lake Traverse Dr, Sisseton, SD 57262-7046
Phone: (605) 698-7606
Fax: (605) 742-0812

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5019 (SD)

Other Family Medicine providers in South Dakota →

Registry record

NPI: 1578527115
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2006
Record last updated: 5 Sep 2012

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.