Individual provider · Type 1 NPI
Timothy Pat Clary, PA-C
Medical Physician Assistant · St. Joseph, MO
NPI number
1750343695
Active
Practice location
5325 Faraon St
St. Joseph, MO 64506-3488
Fax (816) 271-6019
Other practice locations
- 240 W. 18th St., Hornton, KS 66439 · (785) 486-2642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 15-00296 (KS) |
Medical Physician Assistant: Definition to come...
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About NPI 1750343695
Timothy Pat Clary, PA-C's National Provider Identifier is 1750343695, issued on Apr 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Joseph, MO. The record was last updated on Mar 17, 2018.