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Contact Information

THOMAS L LARK, MD
8800 W EMERALD ST
BOISE, ID83704-8205
 Phone: 208-373-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THOMAS L LARK · (Male)

NPI # 1609818699
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 11/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M7000
  • OR Medicaid 022753
Hospital affiliation(s)
  • TREASURE VALLEY HOSPITAL - (Acute Care)
    8800 WEST EMERALD STREET
    BOISE, ID 83704
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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