Mark Clark
Mark Clark is an Other Technician in Gerald, Missouri. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
6646 Highway 50Gerald, MO 63037-2700
Phone: (573) 764-5707
Fax: (573) 764-5207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1710265160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 2, 2011 |
| Last updated in NPPES | August 2, 2011 |
| Mailing address | 6646 Highway 50, Gerald, MO 63037-2700 |