MR. Hollis Johnson Clark JR., P.A.-C.

NPI #1154659894 in Herrin, Illinois

Provider Information

NPI Number
1154659894
Entity Type
Individual
Name
MR. Hollis Johnson Clark JR., P.A.-C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.-C.
Enumeration Date
Nov 18, 2009
Last Updated
Feb 23, 2017

Practice Location

Address
510 LINCOLN DR
City
Herrin
ZIP Code
62948-6334
Phone
(618) 997-6800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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