Provider profile

Individual

Randall Bruce Clark

Radiology in Cape Girardeau, MO. NPI 1265873111, listed in the CMS NPI Registry since 07/08/2013. Bills Medicare.

NPI 1265873111Specialty RadiologyEnumerated 07/08/2013
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Registry and Medicare facts

Practice location
70 Doctors Park, Cape Girardeau, MO 63703
CMS NPI Registry
Phone
(573) 334-6071
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/08/2013
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,753 Part B
CMS Medicare 2024

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