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Individual

ADAM CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1410 FORUM KATY PKWY STE 100, COLUMBIA, MO 65203-6583
(573) 441-7070
(573) 441-2288
Mailing address
1410 FORUM KATY PKWY STE 100, COLUMBIA, MO 65203-6583
(573) 441-7070

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2021025655
MO

Other

Enumeration date
03/27/2017
Last updated
07/14/2021
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