AUTUMN FRANCIENE CLARK

CARING EDGE OP LLC

Dr AUTUMN FRANCIENE CLARK is a female medical professional, specializing in Physical Therapy. She graduated in 2015.

Contact

CARING EDGE OP LLC

77 N FISHER PARK WAY
EAGLE
ID
836164796

Tel: 2082973039

AUTUMN FRANCIENE CLARK Information

Npi 1821582495
Pac Id 6608125414
Professional Enrollment Id I20190213001099
Last Name CLARK
First Name AUTUMN
Middle Name FRANCIENE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CARING EDGE OP LLC
Group Practice Pac Id 6406114131
Number Of Group Practice Members 71
Line 1 Street Address 77 N FISHER PARK WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836164796
Phone Number 2082973039
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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