Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407308018

Tyler Clark is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

7785 Keswick Pl
Saint Louis, MO 63119
Phone: (573) 344-7009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407308018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2016
Last updated in NPPESJune 18, 2018

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