Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIAS GERRIT CLARK
Active Sole ProprietorMedical Technologist · CEDAR RAPIDS, IA
Registration Details
- NPI Number
- 1780949958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2012 (13.779947792762 yrs)
- Last Updated
- Jul 12, 2012
- License
-
240891 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
531 COUNTRY HILL CT NEAPARTMENT 2CEDAR RAPIDS, IA, 524028310Browse IA providers · Browse ZIP 52402
- Phone
- 6059299380
- Primary Specialty
-
Medical Technologist
246QM0706X
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.