Rick C. Clark Jr., PA
Rick C. Clark Jr., PA is a Physician Assistant in Malad City, Idaho. Qualified in 2000, 26 years ago. Practices with Oneida County Hospital, a 10-clinician group. Licensed in Idaho.
- Years since qualifying
- 26
- Licensed in
- ID
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
220 Bannock St Ste 306Malad City, ID 83252-1256
Phone: (208) 766-2600
Fax: (208) 766-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-749 (ID) |
|---|
Record details
| NPI number | 1033190533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 10, 2005 |
| Last updated in NPPES | November 16, 2021 |
| Certification date | November 16, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Oneida County Hospital — 10 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Malad City
-
Mel Bingham, PA-C
220 Bannock St, Malad City, ID 83252-5068 · (208) 766-2600
-
Robert Todd Gillespie, PA
220 Bannock St Ste B, Malad City, ID 83252-1256 · (208) 766-2600
-
Ariel Shantay Avis Taysom, PA-C
220 Bannock St, Malad City, ID 83252-5068 · (208) 766-2600