SearchMissouri374U00000X

Tiffany Clark

NPI 1639596398 · on the registry since 2014

Practice

Address
11830 Jenner Ln
Saint Louis, MO 63138
Phone
(314) 440-3020
Fax
(314) 653-2824

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2014-03-19

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