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DAVID B CLARK MD NPI 1811952385


NPI Information

NPI: 1811952385
Provider Name: DAVID B CLARK, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
9051 WATSON RD
#263
SAINT LOUIS, MO
ZIP 63126
Phone: (314) 667-5397
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David B Clark, MD is a general practice in Saint Louis, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee David B Clark, MD NPI is 1811952385. 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:

9051 WATSON RD
#263
SAINT LOUIS, MO
ZIP 63126-240
Phone: (314) 667-5397
Fax: (314) 627-0767

The enumeration date for this NPI number is 4/19/2006 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology2003015259MISSOURINo
2208D00000XGeneral Practice2003015259MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1127254OTHERMISSOURIBLUE SHIELD
2145402OTHERMISSOURIHEALTHLINK
32002364OTHERMISSOURIUNITED HEALTHCARE
4127254OTHERMISSOURIBLUE CHOICE
5208429605MEDICAIDMISSOURI
6904275236MEDICARE PINMISSOURI
7P00104746MEDICARE PINMISSOURI
8904270635MEDICARE PINMISSOURI
9P00422532MEDICARE PINMISSOURI
10H88643MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.