SearchArizonaMedical Physician Assistant

William Clark

NPI 1184362659 · on the registry since 2022 · sole proprietor

Practice

Address
1042 Willow Creek Rd
Prescott, AZ 86301
Phone
(928) 379-0838
Clinicians at this address
3

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona