Tyler Clark is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tyler Clark NPI is 1407308018. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7785 KESWICK PL
SAINT LOUIS, MO
ZIP 63119
Phone: (573) 344-7009
The enumeration date for this NPI number is 10/30/2016 and was last updated on 6/18/2018.