Individual provider · Type 1 NPI

Timothy Clark, RPA-C

Physician Assistant · Springfield, OH

NPI number 1629027974 Active

Practice location

1200 Vester Ave
Springfield, OH 45503-1304

Fax (937) 828-2052

Mailing address

1430 Oak Ct Ste 100
Beavercreek, OH 45430-1064

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.007543RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629027974

Timothy Clark, RPA-C's National Provider Identifier is 1629027974, issued on May 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, OH. The record was last updated on May 2, 2025.