Individual provider · Type 1 NPI
Rachel Nacole Clark
Medical Physician Assistant · Rolla, MO
NPI number
1386142685
Active
Practice location
1000 W 10th St
Rolla, MO 65401-2905
Mailing address
13005 Arlington Rd
Newburg, MO 65550-9063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2018001797 (MO) |
Medical Physician Assistant: Definition to come...
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About NPI 1386142685
Rachel Nacole Clark's National Provider Identifier is 1386142685, issued on Feb 1, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rolla, MO. The record was last updated on Feb 1, 2018.