Dr Chad Clark, OD | |
1205 S Five Mile Rd, Boise, ID 83709-1304 | |
(208) 322-8381 | |
Not Available |
Full Name | Dr Chad Clark |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 10 Years |
Location | 1205 S Five Mile Rd, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205241577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100308 (Idaho) | Primary |
Provider Name | David M Ward Jr Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598825416 PECOS PAC ID: 7315022902 Enrollment ID: O20080306000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Clark, OD 1205 S Five Mile Rd, Boise, ID 83709-1304 Ph: (208) 322-8381 | Dr Chad Clark, OD 1205 S Five Mile Rd, Boise, ID 83709-1304 Ph: (208) 322-8381 |
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