Individual provider · Type 1 NPI

Ted Robert Clark, MD, M.P.P.

Emergency Medicine Physician · Springfield, IL

NPI number 1497914741 Active

Practice location

701 N. 1st Street
Springfield, IL 62781

Call (217) 545-7409 Map

Fax (217) 545-2711

Mailing address

PO Box 19638
Springfield, IL 62794-9638

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X01064079A (IN)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1497914741

Ted Robert Clark, MD, M.P.P.'s National Provider Identifier is 1497914741, issued on Jun 3, 2008. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Springfield, IL. The record was last updated on Mar 14, 2013.