Individual
DR. DAVID FREDERICK CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12140 NALL AVE, SUITE 230, OVERLAND PARK, KS 66209-2503
(913) 661-9448
(913) 661-4688
Mailing address
12140 NALL AVE, SUITE 230, OVERLAND PARK, KS 66209-2503
(913) 661-9448
(913) 661-4688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0436405
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/01/2008
Last updated
06/12/2013
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