Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB T ARK, M.D.
ActiveJACOB T ARK, M.D. is a Urology healthcare provider located in SAINT LOUIS, Missouri. NPI 1891053716 is currently active in the NPPES registry. Verify at CMS.
Urology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1891053716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2012 (14.306281050916 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
2018009509 (MO)36145240 (IL)
Practice Information
- Address
-
12855 N 40 DR STE 375SAINT LOUIS, MO, 631418657Browse MO providers · Browse ZIP 63141
- Phone
- 3145676071
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| ROBERT PROPHETE | M.D. | 1376547802 |
| ROBERT CLAYTON MCDONOUGH III | MD | 1720074503 |
| DR. BRAD C WHITE | MD | 1205810512 |
| DR. MATTHEW J SPELLMAN | MD | 1205810520 |
| DR. COURTNEY SHANDS III | MD | 1902880362 |
| DR. CHRISTOPHER L VULIN | MD | 1801870126 |
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.