Clark Reed Stream, PA-C

NPI #1578509386 in Panama City Beach, Florida

Provider Information

NPI Number: 1578509386
Entity Type: Individual
Name: Clark Reed Stream, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 21, 2006
Last Updated: Jun 3, 2022

Practice Location

Address: 120 N RICHARD JACKSON BLVD STE 140
City: Panama City Beach
State: Florida
ZIP Code: 32407-2522
Phone: (850) 532-6168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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