Amy Lynn Clark, DO

Pediatric Endocrinology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1427285774

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone
(314) 577-5648
Fax
(314) 268-6448

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NPI record

NPI
1427285774
Entity type
Individual (Type 1)
Enumeration date
June 14, 2009
Last updated
July 8, 2021
Certified
July 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Endocrinology Physician Primary 2080P0205X 2012016489 MO
Pediatrics Physician 208000000X 2012016489 MO

About Dr. Clark

Amy Lynn Clark, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Endocrinology Physician (code 2080P0205X). The practice location is 1465 S Grand Blvd, Saint Louis, MO 63104-1003. The NPI number 1427285774 was assigned on June 14, 2009 and the record was last updated on July 8, 2021.

Dr. Clark lists 2 licenses in the registry: #2012016489 (MO) for Pediatric Endocrinology Physician; #2012016489 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy Lynn Clark, DO?

The NPI number is 1427285774.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (314) 577-5648.

Where is Dr. Clark located?

1465 S Grand Blvd, Saint Louis, MO 63104-1003.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 2080P0205X – Pediatric Endocrinology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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