Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARRY ANDREW CLARK, D.O.
Active Sole ProprietorGARRY ANDREW CLARK, D.O. is a Pain Medicine (PM&R) healthcare provider located in SIOUX CITY, Iowa. NPI 1952380750 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · SIOUX CITY, IA
Registration Details
- NPI Number
- 1952380750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.625528806665 yrs)
- Last Updated
- Jan 26, 2012
- License
-
01361 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3930 STADIUM DRSIOUX CITY, IA, 511065166Browse IA providers · Browse ZIP 51106
- Phone
- 7122764325
- Fax
- 7122766033
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
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.