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