Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDIL L CLARK, M.D.
ActiveDR. RANDIL L CLARK, M.D. is a Urology healthcare provider located in COEUR D' ALENE, Idaho. NPI 1205961182 is currently active in the NPPES registry. Verify at CMS.
Urology · COEUR D' ALENE, ID
Registration Details
- NPI Number
- 1205961182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.49216697778 yrs)
- Last Updated
- May 25, 2012
- License
-
M-5699 (ID)
Practice Information
- Address
-
980 IRONWOOD DR WSTE 104COEUR D' ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 2086670621
- Fax
- 2086641709
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in COEUR D' ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD D ELLISON | M.D. | 1346375235 |
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.