Individual
DR. CLINTON JAY MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 W CHERRY ST, STE D, MARION, IL 62959-1998
(618) 997-2396
(618) 997-1901
Mailing address
1008 W CHERRY ST, STE D, MARION, IL 62959-1998
(618) 997-2396
(618) 997-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119956
IL
207R00000X
Internal Medicine Physician
2006030252
MO
Other
Enumeration date
10/28/2006
Last updated
09/16/2010
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