JONATHAN CLARK

SPRINGFIELD, MO
NPI1164415204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  MD101561)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
-- JONATHAN CLARK
1200 E WOODHURST DR SUITE Q-200
SPRINGFIELD, MO 65804-4257
Phone number: 417-881-5639
Mailing Address
-- JONATHAN CLARK
1200 E WOODHURST DR SUITE Q-200
SPRINGFIELD, MO 65804-4257
Phone number:
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