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Contact Information

DAVID B CLARK, MD
9051 WATSON RD
#263
SAINT LOUIS, MO63126-2240
 Phone: 314-667-5397
 Fax: 314-627-0767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DAVID B CLARK · (Male)

NPI Number 1811952385
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 03/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2003015259
  • MO Medicaid 208429605
  • MO Other 127254 BLUE CHOICE
  • MO Other 127254 BLUE SHIELD
  • MO Other 145402 HEALTHLINK
  • MO Other 2002364 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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