Jacob Clark
NPI #1013614304 in Peoria, Illinois
Provider Information
- NPI Number
- 1013614304
- Entity Type
- Individual
- Name
- Jacob Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Feb 8, 2023
- Last Updated
- Apr 7, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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