Jonathan Clark is a family medicine in Springfield, MO with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jonathan Clark NPI is 1164415204. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1992
The provider's business location address is:
1200 E WOODHURST DR
SUITE Q-200
SPRINGFIELD, MO
ZIP 65804-257
Phone: (417) 881-5639
Fax: (417) 881-5664
The NPI 1164415204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 26D0903484 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/24/2005 and was last updated on 7/8/2007.