Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD O CLARK, PAC
ActivePhysician Assistant · PENSACOLA, FL
Registration Details
- NPI Number
- 1932109105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (20.751523719398 yrs)
- Last Updated
- Sep 11, 2007
- License
-
PA000270 (FL)
Practice Information
- Address
-
1717 N E STSUITE 331PENSACOLA, FL, 325016339Browse FL providers · Browse ZIP 32501
- Phone
- 8504441717
- Fax
- 8504441755
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PENSACOLA, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL BERTAGNOLLI | PA-C | 1427051010 |
| DOUGLAS SCOTT BAKER | PAC | 1194725457 |
| REBECCA COWER | PAC | 1386644607 |
| WILLIAM ANDREW WATSON | PAC | 1033119227 |
| MR. JAMES PATRICK ADAIR II | PA-C | 1265425243 |
| HERBERT BROWN | PA | 1427042084 |
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.