Individual
TARA A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 NE ADAMS DAIRY PKWY, BLUE SPRINGS, MO 64014-5493
(816) 251-6100
(816) 347-4695
Mailing address
600 NE ADAMS DAIRY PKWY, BLUE SPRINGS, MO 64014-5493
(816) 251-6100
(816) 347-4695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004023907
MO
Other
Enumeration date
04/13/2006
Last updated
05/13/2019
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