Individual
ROBERT T CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Mailing address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-34214
KS
207Q00000X
Family Medicine Physician
40537
OK
207Q00000X
Family Medicine Physician
DR.0076371
CO
207Q00000X
Family Medicine Physician
M3194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004083830004
—
KS
Enumeration date
08/01/2006
Last updated
02/04/2026
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