Individual
CINDY MARIE FORTADO-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376-3091
(636) 916-9615
(636) 916-7461
Mailing address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376-3386
(636) 916-9615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RIK22
MO
Other
Enumeration date
02/07/2007
Last updated
02/04/2021
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