Individual
MR. RICHARD E. CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2201 W WORLEY ST, COLUMBIA, MO 65203-1055
(573) 445-1407
Mailing address
2201 W WORLEY ST, COLUMBIA, MO 65203-1055
(573) 445-1407
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1025
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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