Provider Demographics
NPI:1588673610
Name:CLYMER, DAVID ROSS (MBA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ROSS
Last Name:CLYMER
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2401 SOUTH JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1938
Mailing Address - Country:US
Mailing Address - Phone:417-782-6169
Mailing Address - Fax:417-782-1973
Practice Address - Street 1:2401 S JACKSON AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1938
Practice Address - Country:US
Practice Address - Phone:417-782-6169
Practice Address - Fax:417-782-1973
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor