STACEY CLARK, PA
Physician Assistant
Active
Individual
NPI: 1710968763
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 2511 (AZ) |
| Physician Assistant | 363A00000X | Yes | 0622 (NH) |
Frequently Asked Questions
NPI 1710968763 is the National Provider Identifier for STACEY CLARK, PA, a Physician Assistant provider located in Penacook, NH. This NPI was enumerated on November 8, 2005.
STACEY CLARK, PA practices at 4 CRESCENT ST., Penacook, NH 03303.
Quick Facts
- NPI
- 1710968763
- Type
- Individual
- Enumerated
- Nov 8, 2005
- Last Updated
- Sep 30, 2022
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MARGARITA SHUGOL, DO
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CHRISTIE COUTURE
Case Manager/Care Coordinator
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DON GOODELL
Case Manager/Care Coordinator
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SAMUEL ROEDELL, BA
Case Manager/Care Coordinator