-- GREGORY P CLARK -- P.A.
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1730170796- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.
- Status
- Active
Contact & Location
- Address
- 777 AVENUE H POWELL VALLEY HEALTHCARE INC, POWELL, WY, 82435
- Phone
- (307) 754-3405
- Fax
- (307) 754-1207
Specialties & Taxonomies
Physician Assistant
Primary License: WY #203