Individual provider · Type 1 NPI

William Ray Clark Ii, PA-C

Medical Physician Assistant · Memphis, TN

NPI number 1780109009 Active

Practice location

1244 Primacy Pkwy
Memphis, TN 38119-0201

Fax (901) 767-8666

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742

Other practice locations

  • 3045 Kate Bond Rd, Bartlett, TN 38133-4004 · (901) 641-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X3360 (TN)
Medical Physician Assistant Primary 363AM0700X3360 (TN)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1780109009

William Ray Clark Ii, PA-C's National Provider Identifier is 1780109009, issued on Aug 8, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Memphis, TN. The record was last updated on Jun 17, 2019.