Individual
CALI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MBA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
1102 W 32ND ST, JOPLIN, MO 64804-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021021436
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
08/03/2021
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