Most Relevant Information
Provider Data
| NPI Number: | 1003012204 |
| Provider Name: | CHARLES MALCOLM CLAIR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | M-10525 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 05/11/2022 |
Provider Practice Location
1071 RENEE AVE
POCATELLO
ID
832012508
Practice Location Phone/Fax
| Phone: | 2082525602 |
| Fax: | 2082697094 |
Provider Mailing Location
1322 STONERIDGE DR
POCATELLO
ID
832015043
Provider Mailing Phone/Fax
| Phone: | 2084360481 |
| Fax: |