Mark Clark
Other Technician · Gerald, MO
NPI number
1710265160
Practice location
6646 Highway 50Gerald, MO 63037-2700
- Phone
- (573) 764-5707
- Fax
- (573) 764-5207
NPI record
- NPI
- 1710265160
- Entity type
- Individual (Type 1)
- Enumeration date
- August 2, 2011
- Last updated
- August 2, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Other Technician Primary | 247200000X |
— | — |
About Mark Clark
Mark Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 6646 Highway 50, Gerald, MO 63037-2700. The NPI number 1710265160 was assigned on August 2, 2011 and the record was last updated on August 2, 2011.
Frequently asked questions
What is the NPI number of Mark Clark?
The NPI number is 1710265160.
What is the phone number of Mark Clark?
The phone number listed for the practice location is (573) 764-5707.
Where is Mark Clark located?
6646 Highway 50, Gerald, MO 63037-2700.
What is the taxonomy code for Mark Clark?
The primary taxonomy code is 247200000X – Other Technician.
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.