Individual provider · Type 1 NPI

Gregory S. Clark, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1164841102 Active

Practice location

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193

Call (317) 583-7600 Map

Mailing address

10330 N Meridian St # 300
Indianapolis, IN 46290-1024

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10000165A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1164841102

Gregory S. Clark, PA-C's National Provider Identifier is 1164841102, issued on Apr 7, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 3, 2017.