CLARK ALLEN

IDAHO NEUROSURGERY AND SPINE PLLC

Dr CLARK ALLEN is a male medical professional, specializing in Neurosurgery. He graduated in 2000 from Medical College Of Virginia Commonwealth University School Of Medicine.

Contact

IDAHO NEUROSURGERY AND SPINE PLLC

3345 POTOMAC WAY
IDAHO FALLS
ID
834044978

Tel: 2085526210

CLARK ALLEN Information

Npi 1780679126
Pac Id 6901970912
Professional Enrollment Id I20080822000321
Last Name ALLEN
First Name CLARK
Middle Name
Suffix
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty NEUROSURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IDAHO NEUROSURGERY AND SPINE PLLC
Group Practice Pac Id 8325363773
Number Of Group Practice Members 6
Line 1 Street Address 3345 POTOMAC WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834044978
Phone Number 2085526210
Hospital Affiliation Ccn 1 130018
Hospital Affiliation Lbn 1 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 130065
Hospital Affiliation Lbn 2 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 3 130028
Hospital Affiliation Lbn 3 PORTNEUF MEDICAL CENTER
Hospital Affiliation Ccn 4 131319
Hospital Affiliation Lbn 4 MINIDOKA MEMORIAL HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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