Joe Clinkenbeard, PA

NPI #1306843685 in Valparaiso, Indiana

Provider Information

NPI Number: 1306843685
Entity Type: Individual
Name: Joe Clinkenbeard, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 1, 2005
Last Updated: May 16, 2012

Practice Location

Address: 2421 LAPORTE AVE
City: Valparaiso
State: Indiana
ZIP Code: 46383-6914
Phone: (219) 462-6192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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