Tyler Clark MD

  • NPI 1124414305
According to our database, the NPI number for Tyler Clark MD is 1124414305 and activated since 9 years ago. Tyler Clark MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 222 Southway Ave Ste C, Lewiston, ID 83501. You can also contact Tyler Clark MD via telephone number is (208) 746-1333. Provider NPI information was last updated on 05/04/2021.

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Overview of Tyler Clark MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/14/2015
  • Last updated: 05/04/2021

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: ML60572536
  • License State: WA

Provider Mailing Address

  • Address: 222 Southway Ave Ste C
    Lewiston, ID 83501
  • Phone: 208-746-1333
  • Fax: 208-746-8090

Provider Practice Location

  • Address: 222 Southway Ave Ste C
    Lewiston, ID 83501
  • Phone: 208-746-1333
  • Fax: 208-746-8090

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: M-14362
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tyler Clark MD?
  • A: The npi number for Tyler Clark MD is 1124414305.
  • Q: What are Tyler Clark MD's specialties?
  • A: Tyler Clark MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Tyler Clark MD?
  • A: The medical license number for Tyler Clark MD is ML60572536 and issued in WA in USA.
  • Q: Where is Tyler Clark MD practice location?
  • A: Tyler Clark MD is practicing at 222 Southway Ave Ste C, Lewiston, ID 83501.
  • Q: How to contact Tyler Clark MD?
  • A: You can contact Tyler Clark MD via 208-746-1333.