Individual
DR. ROBERT LOUIS CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5826
(515) 699-5929
Mailing address
8275 NW 54TH AVE, JOHNSTON, IA 50131-2712
(515) 276-8187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26447
IA
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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