Jonathan Clark
Family Medicine · Springfield, MO
UnclaimedNPI 1164415204
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2005-08-24
- Practice location
- Springfield, MO
- Last NPPES update
- 2026-07-13
State licenses
- MO · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.