David Frederick Clark MD

NPI 1629230479 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1629230479
Gender Male
Enumeration Date 07/01/2008
Last Updated 06/12/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
12140 NALL AVE
SUITE 230
OVERLAND PARK KS, 66209-2503, US
Phone (913) 661-9448
Fax (913) 661-4688
Business Location
12140 NALL AVE
SUITE 230
OVERLAND PARK KS, 66209-2503, US
Phone (913) 661-9448
Fax (913) 661-4688
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. David Frederick Clark MD NPI is 1629230479, taxonomy code is 390200000X David Frederick Clark MD physically located at 12140 Nall Ave, Overland Park KS, 66209-2503. NPI Number David Frederick Clark MD has the Individual type.

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1629230479 NPI number is provided on an as is basis without warranty of any kind. 1629230479 is maintained by the National Plan & Provider Enumeration System. The contents of David Frederick Clark MD are for informational purposes only.