CLARK THOMAS EDDY

SHAWNEE MISSION, KS
NPI1962609941
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  05-33757)
Enumeration Date2007-07-02
Last Update Date2018-04-06
Business Address
CLARK THOMAS EDDY DO
9100 W 74TH ST
SHAWNEE MISSION, KS 66204-4004
Phone number: 913-676-2000
Mailing Address
CLARK THOMAS EDDY DO
36123 SCHOOLCRAFT RD
LIVONIA, MI 48150-1216
Phone number: 913-660-1616
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