Provider profile

Individual

Clark R Daines

Pathology in Idaho Falls, ID. NPI 1144264045, listed in the CMS NPI Registry since 06/15/2006. Bills Medicare.

NPI 1144264045Specialty PathologyEnumerated 06/15/2006
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Registry and Medicare facts

Practice location
3100 Channing Way, Idaho Falls, ID 83404
CMS NPI Registry
Phone
(208) 529-6050
CMS NPI Registry
Specialty
Pathology
CMS NPI Registry
Subspecialty
Anatomic Pathology & Clinical Pathology
CMS NPI Registry
Enumeration date
06/15/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
1,119 Part B
CMS Medicare 2024

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