Individual provider · Type 1 NPI
Kirby P. Clark, MD
Diagnostic Radiology Physician · Waterloo, IA
NPI number
1407893795
Active
Practice location
4006 Johnathan St
Waterloo, IA 50701-9387
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Other practice locations
- 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 · (847) 535-7480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 42049-20 (WI) |
| Diagnostic Radiology Physician | 2085R0202X | 036126457 (IL) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 35956 (IA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3 other providers at this address
Other diagnostic radiology physician providers in Waterloo
- James Vincent Connell Jr., MDDiagnostic Radiology Physician Waterloo, IA NPI 1083656995
- Kevin Cong He, MDDiagnostic Radiology Physician Waterloo, IA NPI 1205260668
- Greg Evan Raecker, DODiagnostic Radiology Physician Waterloo, IA NPI 1225076029
- Lawrence Arthur Liebscher, MDDiagnostic Radiology Physician Waterloo, IA NPI 1285680736
- Wayne Leroy Ventling Ii, DODiagnostic Radiology Physician Waterloo, IA NPI 1285793844
- Jery Januszkiewicz, MDDiagnostic Radiology Physician Waterloo, IA NPI 1366995094
- Stephen Dale Frazier, MDDiagnostic Radiology Physician Waterloo, IA NPI 1386698009
- Gopi Kota, MDDiagnostic Radiology Physician Waterloo, IA NPI 1528214970
About NPI 1407893795
Kirby P. Clark, MD's National Provider Identifier is 1407893795, issued on Jun 2, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Waterloo, IA. The record was last updated on Nov 21, 2023.