Search › Missouri › 225XP0200X
Julie Clark
NPI 1245372929 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2446 Forest Leaf Pkwy
Wildwood, MO 63011 - Phone
- (636) 458-2584
- Fax
- (636) 458-2584
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri