Individual provider · Type 1 NPI
Mark Clark
Other Technician · Gerald, MO
NPI number
1710265160
Active
Practice location
6646 Highway 50
Gerald, MO 63037-2700
Fax (573) 764-5207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1710265160
Mark Clark's National Provider Identifier is 1710265160, issued on Aug 2, 2011. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Gerald, MO. The record was last updated on Aug 2, 2011.