MRS. Melissa Gayle Clark, PA-C
NPI #1598776882 in Springfield, Illinois
Provider Information
- NPI Number
- 1598776882
- Entity Type
- Individual
- Name
- MRS. Melissa Gayle Clark, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Feb 11, 2014
Practice Location
- Address
- 619 E MASON ST
- Address 2
- SUITE 4P57
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1034
- Phone
- (217) 788-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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