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Jack O. Clark, MD
Internal Medicine Physician in Rexburg, Idaho
NPI 1902992837

Jack O. Clark is a Internal Medicine Physician based in Rexburg, ID. Jack O. Clark practices in Rexburg, ID and has the professional credentials of MD. The NPI Number for Jack O. Clark is 1902992837 and holds a License No. M-7743 (Idaho).

The current practice location address for Jack O. Clark is 450 E Main St, Rexburg, ID and can be reached out via phone at 208-359-6419 and via fax at 208-356-3111.

Location: 450 E Main St, Rexburg, ID, 83440-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902992837
Provider Name
Jack O. Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 E Main St, Rexburg, ID, 83440-2048
Phone Number
208-359-6419
Fax Number
208-356-3111
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10018055 01 ID REGENCE BCBS IDAHO
114780300 05 WY
80633500 05 ID
58289 01 ID BLUE CROSS IDAHO
805499200 05 ID
institution
Provider Business Practice Location Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-359-6419
Fax Number
208-356-3111
person
Provider Business Mailing Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-359-6419
Fax Number
208-356-3111
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
M-7743 (Idaho)
Definition
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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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