Individual
MR. MARTIN J CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
Mailing address
617 WARRENTON DR, SAINT LOUIS, MO 63122-3024
(314) 932-0810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025012297
MO
Other
Enumeration date
07/17/2006
Last updated
09/15/2025
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