Individual provider · Type 1 NPI

Jack O. Clark, MD

Internal Medicine Physician · Rexburg, ID

NPI number 1902992837 Active

Practice location

450 E Main St
Rexburg, ID 83440

Fax (208) 356-3111

Other practice locations

  • 166 S 5th St, Suite B, Montpelier, ID 83254-1557 · (208) 847-1110

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XM-7743 (ID)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1902992837

Jack O. Clark, MD's National Provider Identifier is 1902992837, issued on Oct 5, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Rexburg, ID. The record was last updated on Apr 13, 2020.