Gerald W Clevenger, PAC

NPI #1083610646 in Troy, Kansas

Provider Information

NPI Number: 1083610646
Entity Type: Individual
Name: Gerald W Clevenger, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 28, 2005
Last Updated: Apr 14, 2016

Practice Location

Address: 311 W. LOCUST ST.
City: Troy
State: Kansas
ZIP Code: 66087
Phone: (785) 985-3504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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