NPI 1780949958

Elias Gerrit Clark

Practitioner Medical Technologist Cedar Rapids, IA

Practice location

Address: 531 Country Hill CT NE Apartment 2, Cedar Rapids, IA 52402-8310
Phone: (605) 929-9380

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 240891 (IA)

Other Specialist/Technologist, Pathology providers in Iowa →

Registry record

NPI: 1780949958
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 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.