Provider
JACK O. CLARK M.D.
Public NPPES listing with taxonomy: Internal Medicine.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1902992837
Taxonomy: Internal Medicine (207R00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 450 E MAIN ST, REXBURG, ID, 83440
Phone: 208-359-6419
Last verified: May 15, 2026