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NPI Verification

National Provider Identifier: 1972559300

Edward T Clark

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 5074

SIOUX FALLS, SD 571175074

NPI Enumeration Date

May 26, 2006

NPI Number

1972559300

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