Individual provider · Type 1 NPI

Staci Leigh Clutter, PA-C

Surgical Physician Assistant · Lima, OH

NPI number 1679054464 Active

Practice location

801 Medical Dr Ste A
Lima, OH 45804-4030

Call (419) 222-6622 Map

Fax (419) 224-0015

Mailing address

1008 Fleck Ave
Celina, OH 45822-8738

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

50 other providers at this address

Other surgical physician assistant providers in Lima

See all in Lima →

About NPI 1679054464

Staci Leigh Clutter, PA-C's National Provider Identifier is 1679054464, issued on Aug 28, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lima, OH. The record was last updated on Feb 21, 2019.