DR. Ted Robert Clark, M.D., M.P.P.
NPI #1497914741 in Springfield, Illinois
Provider Information
- NPI Number
- 1497914741
- Entity Type
- Individual
- Name
- DR. Ted Robert Clark, M.D., M.P.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- M.D., M.P.P.
- Enumeration Date
- Jun 3, 2008
- Last Updated
- Mar 14, 2013
Practice Location
- Address
- 701 N. 1ST STREET
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62781
- Phone
- (217) 545-7409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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