Dr. GORDON BLAKE CLARK -- MD
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology, Bariatric Medicine
Provider Information
- NPI Number
1417937145- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 21624 MIDLAND DR, SHAWNEE, KS, 662189064
- Phone
- (913) 643-0075
- Fax
- (913) 643-0077
Specialties & Taxonomies
Obstetrics & Gynecology
License: KS #KS 04-23518
Obstetrics & Gynecology, Bariatric Medicine
Primary License: KS #04-23518