Individual provider · Type 1 NPI

James R. Clark, PA

Medical Physician Assistant · Tallahassee, FL

NPI number 1124042478 Active

Practice location

1300 Medical Dr
Tallahassee, FL 32308-4646

Fax (850) 216-0112

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1685 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1124042478

James R. Clark, PA's National Provider Identifier is 1124042478, issued on Jul 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tallahassee, FL. The record was last updated on Oct 9, 2014.