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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES CLARK III, MD

Active

CHARLES CLARK III, MD is a Orthopaedic Surgery healthcare provider located in NAMPA, Idaho. NPI 1114346434 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · NAMPA, ID

Registration Details

NPI Number
1114346434
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2014 (12.296164057273 yrs)
Last Updated
Jan 13, 2021
License
M-15579 (ID)

Practice Information

Address
9850 W ST LUKES DR
NAMPA, ID, 836877912
Browse ID providers · Browse ZIP 83687
Phone
2087062663
Fax
2084894300
Primary Specialty
Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in NAMPA, ID

Name Credential NPI
TILDON C ROBINSON IV MD 1457340481
DR. MIERS C JOHNSON MD 1942291521
SHANE A ANDREW DO 1356308316
DR. MATTHEW BRANDON BECK MD 1053631192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.