MR. Andrew Thomas Clark, PA

NPI #1497008254 in Chesterfield, Missouri

Provider Information

NPI Number: 1497008254
Entity Type: Individual
Name: MR. Andrew Thomas Clark, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 17, 2012
Last Updated: May 14, 2019

Practice Location

Address: 15740 S OUTER 40 RD
City: Chesterfield
State: Missouri
ZIP Code: 63017
Phone: (636) 735-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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