Individual provider · Type 1 NPI

Nathaniel Clark, P.A.

Physician Assistant · Carbondale, IL

NPI number 1063660074 Active

Practice location

409 W Oak St
Carbondale, IL 62901-1464

Fax (618) 351-1287

Other practice locations

  • 3905 W Ernestine Dr, Marion, IL 62959-5800 · (618) 529-4455
  • 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 · (618) 529-4455
  • 217 S Park Ave Ste 2, Herrin, IL 62948-3611 · (618) 529-4455

Specialties and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician 207RI0011X085-003278 (IL)
Physician Assistant Primary 363A00000X085003278 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

41 other providers at this address

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About NPI 1063660074

Nathaniel Clark, P.A.'s National Provider Identifier is 1063660074, issued on Sep 3, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Dec 21, 2022.