Clark, Garry Andrew

Clark, Garry Andrew is an sole proprietor health care provider with primary practice located at 3930 Stadium Dr , Sioux City IA 51106-5166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Clark, Garry Andrew can be contacted via phone (712) 276-4325.

Contact Information

Primary practice address
3930 Stadium Dr Sioux City IA 51106-5166
Phone: (712) 276-4325
Fax: (712) 276-6033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01361 Iowa

Profile Details

NPI number 1952380750
LBN Legal business name Clark, Garry Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Jan 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952380750 NPPES
Iowa Other 21964 ST LUKES GROUP PTAN
Iowa Other 1528001492 ST LUKES GROUP PTAN
Iowa Other 21964001 ST LUKES GROUP PTAN
Iowa Other CG1061 ST LUKES GROUP PTAN
Iowa Other 080082594 ST LUKES GROUP PTAN

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