NPI age
12 years
Enumerated 2014-04-15
● Active
Type 1 · Individual
Charles Clark III, MD
Clark is 1 of 7 orthopaedic surgery providers in Nampa and 1 of 239 in Idaho.
Primary specialty
Orthopaedic Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
12 years
↓ 7 yr below median (19 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
45% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Practice location
9850 W St Lukes Dr
Nampa, ID 836877912
Mailing address
2718 W Jetton Ave
Tampa, FL 336295327
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Practice context
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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