Mr John P Clark, PAC | |
101 Camelia St Nw, Royal City, WA 99357 | |
(509) 346-1447 | |
(509) 346-1481 |
Full Name | Mr John P Clark |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 101 Camelia St Nw, Royal City, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811922982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA10001599 (Washington) | Primary |
363AM0700X | Physician Assistant - Medical | PA11682 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr John P Clark, PAC Po Box 1028, 101 Camelia St Nw, Royal City, WA 99357 Ph: (509) 346-1447 | Mr John P Clark, PAC 101 Camelia St Nw, Royal City, WA 99357 Ph: (509) 346-1447 |
Mr. Dennis Talbot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Camelia St, Royal City, WA 99357 Phone: 509-663-8711 | |
Mr. Bruce R Douglas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Camelia St., Royal City, WA 99357 Phone: 509-663-8711 | |
Ms. Ngoc Huu Quyuh Tran, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 103 Camelia St Nw, Royal City, WA 99357 Phone: 509-663-8711 |