Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN P CLARK, PAC
ActiveMR. JOHN P CLARK, PAC is a Medical Physician Assistant healthcare provider located in ROYAL CITY, Washington. NPI 1811922982 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ROYAL CITY, WA
Registration Details
- NPI Number
- 1811922982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.069088420548 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
PA10001599 (WA)PA11682 (CA)
Practice Information
- Address
-
101 CAMELIA ST NWROYAL CITY, WA, 99357Browse WA providers · Browse ZIP 99357
- Phone
- 5093461447
- Fax
- 5093461481
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.