Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dallas Elise Clark, MD

Individual provider Family Medicine Physician · NPI 1669822664

Dr. Dallas Elise Clark, MD is a Family Practice in Red Lodge, Montana. Graduated from University of Washington School of Medicine in 2016, 10 years ago. Practices with Memorial Hospital Association, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
10
Trained at
University of Washington School of Medicine
Licensed in
MT
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2525 N Broadway Ave
Red Lodge, MT 59068
Phone: (406) 446-2345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Railroad St W, Missoula, MT 59802-4109 — (406) 258-4789

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MED-PHYS-LIC-77353 (MT)

Record details

NPI number1669822664
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESSeptember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Memorial Hospital Association — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Red Lodge