Individual provider · Type 1 NPI

Charles Clark Iii, MD

Orthopaedic Surgery Physician · Nampa, ID

NPI number 1114346434 Active

Practice location

9850 W St Lukes Dr
Nampa, ID 83687-7912

Call (208) 706-2663 Map

Fax (208) 489-4300

Mailing address

2718 W Jetton Ave
Tampa, FL 33629-5327

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XM-15579 (ID)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1114346434

Charles Clark Iii, MD's National Provider Identifier is 1114346434, issued on Apr 15, 2014. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Nampa, ID. The record was last updated on Jan 13, 2021.