GREGORY CLARK, P.A.
Physician Assistant
Active
Individual
NPI: 1730170796
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 203 (WY) |
Frequently Asked Questions
NPI 1730170796 is the National Provider Identifier for GREGORY CLARK, P.A., a Physician Assistant provider located in Powell, WY. This NPI was enumerated on October 31, 2005.
GREGORY CLARK, P.A. practices at 777 AVENUE H, POWELL VALLEY HEALTHCARE INC, Powell, WY 82435.
Quick Facts
- NPI
- 1730170796
- Type
- Individual
- Enumerated
- Oct 31, 2005
- Last Updated
- May 13, 2015
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