NPI 1972334951

Richard Lee Clark, CPO

Practitioner Prosthetist Great Falls, MT

Practice location

Address: 816 9th St S, Great Falls, MT 59405-2136
Phone: (406) 452-8428
Fax: (406) 452-8741

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO00675 (MT)

Other Prosthetist providers in Montana →

Registry record

NPI: 1972334951
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2024
Record last updated: 12 Aug 2024

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.