Dr. Amy Lynn Clark
Pediatrician Pediatric Endocrinologist
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
Dr. Amy Lynn Clark
Pediatrician Pediatric Endocrinologist
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
(314) 268-6448
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Amy Lynn Clark
- 1465 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1003
- Fax : (314) 268-6448
- Phone : (314) 577-5648
Second Address
- Dr. Amy Lynn Clark
- 1465 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1003
- Fax : (314) 268-6448
- Phone : (314) 577-5648
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2012016489 | MO |
| Y | 2080P0205X | Pediatric Endocrinologist | 2012016489 | MO |
National Provider Identifier
| NPI | 1427285774 |
|---|---|
| Provider Name | Dr. Amy Lynn Clark |
| First Address | Saint Louis, MO 63104-1003 |
| Second Address | Saint Louis, MO 63104-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2009 |
| Last Update Date | 08/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ENROLLED | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.