Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY WAYNE CLARKSON JR., PA - C
ActiveMR. GARY WAYNE CLARKSON JR., PA - C is a Physician Assistant healthcare provider located in FT. DRUM, New York. NPI 1841488376 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FT. DRUM, NY
Registration Details
- NPI Number
- 1841488376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2007 (18.848847056061 yrs)
- Last Updated
- Jun 11, 2024
- Licenses
-
018632 (NY)C0003621 (MD)
Practice Information
- Address
-
GUTHRIE USA MEDDAC11050 MOUNT BELVEDERE BLVDFT. DRUM, NY, 13602Browse NY providers · Browse ZIP 13602
- Phone
- 3157723225
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- 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.