Individual provider · Type 1 NPI

John D. Clark, PA-C

Surgical Physician Assistant · Damariscotta, ME

NPI number 1841228889 Active

Practice location

39 Miles St.
Damariscotta, ME 04543-0000

Fax (207) 563-1039

Mailing address

4 Glen Cove Dr Ste 206
Rockport, ME 04856-4239

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-319 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1841228889

John D. Clark, PA-C's National Provider Identifier is 1841228889, issued on Jun 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Damariscotta, ME. The record was last updated on Nov 7, 2018.