Organization · Type 2 NPI

John W. Clark PA

Customized Equipment (DME) · Bangor, ME

NPI number 1275904435 Active

Practice location

753 Stillwater Ave
Bangor, ME 04401-3633

Fax (207) 307-7002

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X3365 (ME)

Customized Equipment (DME): Definition to come...

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About NPI 1275904435

John W. Clark PA's National Provider Identifier is 1275904435, issued on Oct 14, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bangor, ME. The record was last updated on Jan 15, 2025.