Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY P CLARK, P.A.
ActiveGREGORY P CLARK, P.A. is a Physician Assistant healthcare provider located in POWELL, Wyoming. NPI 1730170796 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · POWELL, WY
Registration Details
- NPI Number
- 1730170796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.742615632679 yrs)
- Last Updated
- May 13, 2015
- License
-
203 (WY)
Practice Information
- Address
-
777 AVENUE HPOWELL VALLEY HEALTHCARE INCPOWELL, WY, 82435Browse WY providers · Browse ZIP 82435
- Phone
- 3077543405
- Fax
- 3077541207
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in POWELL, WY
| Name | Credential | NPI |
|---|---|---|
| LISA M HOBBY | PA-C | 1669461968 |
| MRS. KELLY K. SIMONE | PA | 1770529703 |
| LISA A. JARVIS | PA | 1780777169 |
| SCOTT W WILSON | PA-C | 1942399522 |
| JANA KEELER | PA-C | 1003079302 |
| MS. HEATHER A SANDERS | P.A. | 1548419666 |
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.