| Rick C Clark Jr, PA | |
|
220 Bannock St, Suite 306, Malad City, ID 83252-1256 | |
| (208) 766-2600 | |
| (208) 766-4258 |
| Full Name | Rick C Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 220 Bannock St, Malad City, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033190533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-749 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hands Of Hope Home Health, Inc | Idaho falls, ID | Home health agency |
| Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oneida County Hospital | 3476459108 | 10 |
| Mailing Address | Practice Location Address |
|---|---|
| Rick C Clark Jr, PA Po Box 126, Suite 306, Malad City, ID 83252-0126 Ph: (208) 766-2231 | Rick C Clark Jr, PA 220 Bannock St, Suite 306, Malad City, ID 83252-1256 Ph: (208) 766-2600 |
Mel Bingham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Ariel Shantay Avis Taysom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Robert Todd Gillespie, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Suite B, Malad City, ID 83252 Phone: 208-766-2600 |