Nathaniel Clark, P.A.
NPI #1063660074 in Carbondale, Illinois
Provider Information
- NPI Number
- 1063660074
- Entity Type
- Individual
- Name
- Nathaniel Clark, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Sep 3, 2008
- Last Updated
- Dec 21, 2022
Practice Location
- Address
- 409 W OAK ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1464
- Phone
- (618) 529-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Physician Assistant |
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