HomeNPI Verification

NPI Verification

National Provider Identifier: 1578527115

Leroy a Clark, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

100 LAKE TRAVERSE DR

SISSETON, SD 572627046

Phone: 605-698-7606

NPI Enumeration Date

April 12, 2006

NPI Number

1578527115

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