MR. JOHN P CLARK PAC NPI 1811922982

NPI Information

NPI: 1811922982
Provider Name: MR. JOHN P CLARK, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
101 CAMELIA ST NW
ROYAL CITY, WA
ZIP 99357
Phone: (509) 346-1447
Get Directions

MR. John P Clark, PAC is a medical physician assistant in Royal City, WA. MR. John P Clark, PAC NPI is 1811922982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 CAMELIA ST NW
ROYAL CITY, WA
ZIP 99357
Phone: (509) 346-1447
Fax: (509) 346-1481

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11682	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA10001599	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »