| NPI | 1841237583 |
|---|---|
| Doing Business As | CLARK COUNTY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL DAVIS Owner 217-382-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 036086811) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-04-24 |