NPI 1457466617 · live from the CMS NPI Registry
Richard A. Clark, M.D.
Internal Medicine, Cardiovascular Disease in Sioux Falls, SD. National Provider Identifier 1457466617, active.
NPI record
| NPI | 1457466617 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1305 W 18th St, Sioux Falls, SD 57105 |
| Practice phone | 605-328-2929 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | August 20, 2006 |
| Last updated | August 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 19750 (NE) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 7501 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.