Alexis Mikayla Clark, PA-C
NPI #1053919563 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1053919563
- Entity Type
- Individual
- Name
- Alexis Mikayla Clark, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 16, 2020
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 1438 E AUGUSTINE LN STE 2
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-5462
- Phone
- (479) 335-5777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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