| Garry Andrew Clark, DO | |
|
3930 Stadium Dr, Sioux City, IA 51106-5166 | |
| (712) 276-4325 | |
| (712) 276-6033 |
| Full Name | Garry Andrew Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 57 Years |
| Location | 3930 Stadium Dr, Sioux City, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952380750 | NPI | - | NPPES |
| 21964 | Other | IA | ST LUKES GROUP PTAN |
| 1528001492 | Other | IA | ST LUKES GROUP NPI |
| 21964001 | Other | IA | ST LUKES INDIVIDUAL PTAN |
| CG1061 | Other | IA | MEDICARE RAILROAD GROUP NUMBER |
| 080082594 | Other | IA | MEDICARE RAILROAD INDIVIDUAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 01361 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multi Care Physicians Group Pc | 1153390745 | 5 |
| Entity Name | Multi Care Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457369639 PECOS PAC ID: 1153390745 Enrollment ID: O20040930000230 |
| Entity Name | Siouxland Adult Medicine, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295991677 PECOS PAC ID: 3173691730 Enrollment ID: O20081009000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Garry Andrew Clark, DO 3930 Stadium Dr, Sioux City, IA 51106-5166 Ph: (712) 276-4325 | Garry Andrew Clark, DO 3930 Stadium Dr, Sioux City, IA 51106-5166 Ph: (712) 276-4325 |
Emily Rohmiller, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2524 Glenn Ave, Sioux City, IA 51106 Phone: 712-226-2253 | |
Taylor Landholm, OT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3100 S Lakeport St, Sioux City, IA 51106 Phone: 712-277-4442 |