National Provider Identifier Database

JAMES M CLARK, DO – NPI #1578523577
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JAMES M CLARK, DO
700 S MAIN ST
MOSCOW, ID83843
Phone: 208-882-4511
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JAMES M CLARK

NPI Number 1578523577
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2006
Last updated 04/16/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • ID License #: O-272
  • WA License #: OP00001738
  • ID Medicaid: 1578523577
  • ID Medicaid: 806111700
  • MT Medicaid: 1578523577
  • WA Medicaid: 1578523577
Hospital affiliation n/a

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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