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Richard O Clark, PAC

NPI #1932109105 in Pensacola, Florida

Provider Information

NPI Number
1932109105
Entity Type
Individual
Name
Richard O Clark, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Jul 28, 2005
Last Updated
Sep 11, 2007

Practice Location

Address
1717 N E ST
Address 2
SUITE 331
City
Pensacola
State
Florida
ZIP Code
32501-6339
Phone
(850) 444-1717

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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