Individual provider · Type 1 NPI

Nicholas McKinley Clark, PA-C

Physician Assistant · Phoenix, AZ

NPI number 1679367288 Active

Practice location

3522 N 3rd Ave
Phoenix, AZ 85013-3903

Call (602) 776-7676 Map

Fax (602) 705-0567

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11035 (AZ)

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 1679367288

Nicholas McKinley Clark, PA-C's National Provider Identifier is 1679367288, issued on Apr 8, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 24, 2026.