Individual provider · Type 1 NPI
Zachary Robert Clark, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1508444027
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1508444027
Zachary Robert Clark, PA-C's National Provider Identifier is 1508444027, issued on Mar 29, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2021.