Shelby Clark
NPI #1982257507 in Evansville, Indiana
Provider Information
- NPI Number
- 1982257507
- Entity Type
- Individual
- Name
- Shelby Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 23, 2019
- Last Updated
- Jul 23, 2019
Practice Location
- Address
- 225 CROSSLAKE DR
- City
- Evansville
- State
- Indiana
- ZIP Code
- 47715-8198
- Phone
- (812) 477-1558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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