Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RYAN PATRICK CLARK, PHYSICIAN ASSISTANT
Active Sole ProprietorMR. RYAN PATRICK CLARK, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in WEST FRANKFORT, Illinois. NPI 1013335496 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WEST FRANKFORT, IL
Registration Details
- NPI Number
- 1013335496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2014 (12.327403853372 yrs)
- Last Updated
- Aug 16, 2014
- Licenses
-
085005075 (IL)2014009216 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 W SAINT LOUIS STWEST FRANKFORT, IL, 628962099Browse IL providers · Browse ZIP 62896
- Phone
- 6189322200
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in WEST FRANKFORT, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JASON DORRIS | PA-C | 1558391367 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.