Individual provider · Type 1 NPI

Dennis J. Clark, PA-C

Physician Assistant · State College, PA

NPI number 1689863805 Active

Practice location

143 Hospital Dr Ste 112A
State College, PA 16803-5500

Call (814) 865-3566 Map

Fax (814) 863-7803

Mailing address

1850 E Park Ave, Suite 112
State College, PA 16803-6705

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	MA052887 (PA)

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 1689863805

Dennis J. Clark, PA-C's National Provider Identifier is 1689863805, issued on Oct 24, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in State College, PA. The record was last updated on Sep 15, 2025.