Individual
DR. MEGAN ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, DC046.00, COLUMBIA, MO 65212-0001
(573) 882-0406
(573) 884-4540
Mailing address
1 HOSPITAL DR, DC046.00, COLUMBIA, MO 65212-0001
(573) 882-0406
(573) 884-4540
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2012016478
MO
Other
Enumeration date
06/12/2012
Last updated
08/06/2013
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