TED ROBERT CLARK

SPRINGFIELD, IL
NPI1497914741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01064079a)
Enumeration Date2008-06-03
Last Update Date2013-03-14
Business Address
Dr. TED ROBERT CLARK M.D., M.P.P.
701 N. 1ST STREET
SPRINGFIELD, IL 62781
Phone number: 217-545-7409
Mailing Address
Dr. TED ROBERT CLARK M.D., M.P.P.
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-7409
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