Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN CLARK
ActiveFamily Medicine · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1164415204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.65741689512 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD101561 (MO)
Practice Information
- Address
-
1200 E WOODHURST DRSUITE Q-200SPRINGFIELD, MO, 658044257Browse MO providers · Browse ZIP 65804
- Phone
- 4178815639
- Fax
- 4178815664
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| STEPHEN DENNEY CHRISTIANSEN | M.D. | 1558367003 |
| DR. CHRISTOPHER W BILLINGS | DO | 1124024864 |
| DR. JACKIE BEENE | MD | 1841296548 |
| IAN LESTER FAWKS | DO | 1386640910 |
| DR. RAFAEL SANTIAGO | M.D. | 1174517825 |
| STEVEN K CHERRY | DO | 1417944018 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.