MRS. Mary Jo Clark

NPI #1730460098 in Highland, Arkansas

Provider Information

NPI Number: 1730460098
Entity Type: Individual
Name: MRS. Mary Jo Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 2691 HIGHWAY 62 412
City: Highland
State: Arkansas
ZIP Code: 72542-9479
Phone: (870) 856-3283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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