CLARK STREAM, PA-C
Physician Assistant
Active
Individual
NPI: 1578509386
Practice Address
120 N RICHARD JACKSON BLVD STE 140Panama City Beach, FL 32407
Phone: (850) 532-6168
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA9100951 (FL) |
| Physician Assistant - Medical | 363AM0700X | No | PA9100951 (FL) |
Frequently Asked Questions
NPI 1578509386 is the National Provider Identifier for CLARK STREAM, PA-C, a Physician Assistant provider located in Panama City Beach, FL. This NPI was enumerated on June 21, 2006.
CLARK STREAM, PA-C practices at 120 N RICHARD JACKSON BLVD STE 140, Panama City Beach, FL 32407.
Quick Facts
- NPI
- 1578509386
- Type
- Individual
- Enumerated
- Jun 21, 2006
- Last Updated
- Jun 3, 2022
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