Individual
MR. PAUL W CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1721
(573) 335-5100
(573) 335-0339
Mailing address
1319 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1721
(573) 335-5100
(573) 335-0339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R7634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200255701
—
MO
Enumeration date
08/30/2006
Last updated
01/07/2011
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