Most Relevant Information
Provider Data
| NPI Number: | 1003035031 |
| Provider Name: | RICHARD E. CLARKE HIS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 1025 |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2201 W WORLEY ST
COLUMBIA
MO
652031055
Practice Location Phone/Fax
| Phone: | 5734451407 |
| Fax: |
Provider Mailing Location
2201 W WORLEY ST
COLUMBIA
MO
652031055
Provider Mailing Phone/Fax
| Phone: | 5734451407 |
| Fax: |