IndividualActive
Clark Allen, M.D.
NPI 1780679126 · Neurological Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1780679126
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M8027 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3345 Potomac Way
Idaho Falls, ID 83404
Phone: (208) 552-6210
Fax: (208) 552-2027
Approximate (ZIP-level) locationGet directions
Mailing address
3345 Potomac Way
Idaho Falls, ID 83404
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2015-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.