Gary L Clark, PA C
NPI #1114911328 in Brooksville, Florida
Provider Information
- NPI Number
- 1114911328
- Entity Type
- Individual
- Name
- Gary L Clark, PA C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA C
- Enumeration Date
- Sep 1, 2005
- Last Updated
- Sep 22, 2014
Practice Location
- Address
- 605 LAMAR AVE
- City
- Brooksville
- State
- Florida
- ZIP Code
- 34601-3211
- Phone
- (352) 799-5411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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