MR. John P Clark, PAC
NPI #1811922982 in Royal City, Washington
Provider Information
- NPI Number
- 1811922982
- Entity Type
- Individual
- Name
- MR. John P Clark, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 CAMELIA ST NW
- City
- Royal City
- State
- Washington
- ZIP Code
- 99357
- Phone
- (509) 346-1447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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