Individual provider · Type 1 NPI
Elias Gerrit Clark
Medical Technologist · Cedar Rapids, IA
NPI number
1780949958
Active
Practice location
531 Country Hill Ct NE, Apartment 2
Cedar Rapids, IA 52402-8310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist Primary | 246QM0706X | 240891 (IA) |
Medical Technologist: Definition to come...
About NPI 1780949958
Elias Gerrit Clark's National Provider Identifier is 1780949958, issued on Jul 12, 2012. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jul 12, 2012.