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John Clark, PAC
NPI 1811922982 · on the registry since 2006
Practice
- Address
- 101 Camelia St Nw
Royal City, WA 99357 - Phone
- (509) 346-1447
- Fax
- (509) 346-1481
- Organisation at this address
- Clinic At Royal City
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Washington