Steven D. Clark, RPA-C

NPI #1861498859 in Wilton, New York

Provider Information

NPI Number: 1861498859
Entity Type: Individual
Name: Steven D. Clark, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Jun 23, 2005
Last Updated: Feb 25, 2011

Practice Location

Address: 14 MOUNTAIN LEDGE DRIVE
City: Wilton
State: New York
ZIP Code: 12831-1858
Phone: (518) 339-4839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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