Robert C Clark, M.D.
Internal Medicine in Saint Joseph, MO. Individual provider (NPI-1).
NPI number1013000892
StatusActive
Last updated in NPPESNov 20, 2017
Details
- NPI
- 1013000892
- Entity type
- Individual (NPI-1)
- Name
- Robert C Clark
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Nov 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R3J43 | MO | Yes |
Practice location
901 Heartland RdSte 3800
Saint Joseph, MO 64506-6200
Phone 816-671-4800 · Fax 816-233-4021
Mailing address
901 Heartland Rd Ste 3800Saint Joseph, MO 64506-6201
Phone 816-671-4818 · Fax 816-233-4021
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