Ryan Steven Clark is a student in an organized health care education training program in Moscow, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ryan Steven Clark NPI is 1528626959. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
212 FARM ROAD
#201
MOSCOW, ID
ZIP 83843
Phone: (208) 819-5174
The enumeration date for this NPI number is 5/31/2019 and was last updated on 5/31/2019.