Clark Oral & Facial Surgery - Burley
Specialty details in registry · Burley, ID
At a glance
1404 Pomerelle Ave Ste A2, Burley, ID 83318-2013
NPPES record updated May 20, 2025. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
1404 Pomerelle Ave Ste A2Burley, ID 83318-2013
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QS0112X
- Enumeration date
- May 20, 2025
- Record updated
- May 20, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QS0112X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1404 Pomerelle Ave Ste A2Burley, ID 83318-2013
- Phone
- (208) 831-2901
- Fax
- (208) 736-6249
Mailing address
1404 POMERELLE AVE STE A2BURLEY, ID 833182013
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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