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NPI Verification

National Provider Identifier: 1205961182

Randil L Clark, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

980 IRONWOOD DR W

STE 104

COEUR D' ALENE, ID 83814

Phone: 208-667-0621

NPI Enumeration Date

February 22, 2007

NPI Number

1205961182

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