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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK CLARK

Active Sole Proprietor

MARK CLARK is a Technician, Health Information healthcare provider located in GERALD, Missouri. NPI 1710265160 is currently active in the NPPES registry. Verify at CMS.

Technician, Health Information · GERALD, MO

Registration Details

NPI Number
1710265160
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2011 (15.000147534315 yrs)
Last Updated
Aug 2, 2011
Sole Proprietor
Yes

Practice Information

Address
6646 HIGHWAY 50
GERALD, MO, 630372700
Browse MO providers · Browse ZIP 63037
Phone
5737645707
Fax
5737645207
Primary Specialty
Technician, Health Information
247200000X
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.