Individual provider · Type 1 NPI
Ryan Patrick Clark, PHYSICIAN ASSISTANT
Medical Physician Assistant · West Frankfort, IL
NPI number
1013335496
Active
Practice location
309 W Saint Louis St
West Frankfort, IL 62896-2099
Mailing address
132 Houston St
St. Charles, MO 63301-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085005075 (IL) |
| Physician Assistant | 363A00000X | 2014009216 (MO) |
Medical Physician Assistant: Definition to come...
9 other providers at this address
- Health Plan of Southern Illinois, Inc.Rural Health Clinic/Center West Frankfort, IL NPI 1548258437
- J & S Professional Pharmcy IncCommunity/Retail Pharmacy West Frankfort, IL NPI 1659483592
- Angela June Triplett, RPHPharmacist West Frankfort, IL NPI 1164025458
- Callie Elaine Goeke, PHARM D.Pharmacist West Frankfort, IL NPI 1457953796
- Darci Kaye Mandrell, RPHPharmacist West Frankfort, IL NPI 1770186405
- Joyce E. Fogleman, R.PH.Pharmacist West Frankfort, IL NPI 1841407590
- Kendra Megan Fischer, FNP-CFamily Nurse Practitioner West Frankfort, IL NPI 1700294584
- Nicholas Minor, PHARM DPharmacist West Frankfort, IL NPI 1124620760
- Razia Sami, MDInternal Medicine Physician West Frankfort, IL NPI 1982709382
Other medical physician assistant providers in West Frankfort
About NPI 1013335496
Ryan Patrick Clark, PHYSICIAN ASSISTANT's National Provider Identifier is 1013335496, issued on Apr 2, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Frankfort, IL. The record was last updated on Aug 16, 2014.