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NPI Verification

National Provider Identifier: 1114370814

Riley Clark, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Hospitalist

Code: 208M00000X

All Specialties (2)

Hospitalist

Code: 208M00000X

Primary

Internal Medicine

Code: 207R00000X

Practice Address

5225 23RD AVE S

FARGO, ND 581047927

Phone: 701-417-2000

NPI Enumeration Date

July 18, 2016

NPI Number

1114370814

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Riley Clark, M.d. - NPI 1114370814 | Provider Verification | HormoneMap