Timothy A Clark, PA-C

NPI #1336851724 in Glenelg, Maryland

Provider Information

NPI Number: 1336851724
Entity Type: Individual
Name: Timothy A Clark, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 15011 DOUBLE BRIDGES CT
City: Glenelg
State: Maryland
ZIP Code: 21737-9618
Phone: (443) 534-6487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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