Individual provider · Type 1 NPI

Anton Victor Clark, PA-C

Medical Physician Assistant · Anchorage, AK

NPI number 1487372116 Active

Practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Fax (907) 563-3460

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X217139 (AK)

Medical Physician Assistant: Definition to come...

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About NPI 1487372116

Anton Victor Clark, PA-C's National Provider Identifier is 1487372116, issued on Aug 18, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anchorage, AK. The record was last updated on Oct 23, 2025.