Stacey Clark, PA

NPI #1710968763 in Penacook, New Hampshire

Provider Information

NPI Number: 1710968763
Entity Type: Individual
Name: Stacey Clark, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 8, 2005
Last Updated: Sep 30, 2022

Practice Location

Address: 4 CRESCENT ST.
City: Penacook
State: New Hampshire
ZIP Code: 03303-1412
Phone: (603) 753-4302

Specialties & Taxonomy Codes

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

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