Individual
DR. ROBERT EDWARD CLARK
Active
Individual
DR. ROBERT EDWARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190170
PA
207RG0100X
Gastroenterology Physician
Primary
036131371
IL
207RG0100X
Gastroenterology Physician
2010017443
MO
Other
Enumeration date
07/03/2008
Last updated
06/26/2026
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