person
Mr. John Riley Clark, PA-C
Medical Physician Assistant in Oswego, Illinois
NPI 1063072973

John Riley Clark is a Medical Physician Assistant based in Oswego, IL and is specialized in Medical. John Riley Clark practices in Oswego, IL and has the professional credentials of PA-C. The NPI Number for John Riley Clark is 1063072973 and holds a License No. 085.007136 (Illinois).

The current practice location address for John Riley Clark is 2700 Light Rd Apt 102, Oswego, IL and can be reached out via phone at 415-516-8668.

Location: 2700 Light Rd Apt 102, Oswego, IL, 60543-9231
person
Provider Profile Details
NPI Number
1063072973
Provider Name
John Riley Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2700 Light Rd Apt 102, Oswego, IL, 60543-9231
Phone Number
415-516-8668
Fax Number
Provider Enumeration Date
06/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Light Rd Apt 102
City
State
Zip
60543-9231
Phone Number
415-516-8668
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Light Rd Apt 102
City
State
Zip
60543-9231
Phone Number
415-516-8668
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.007136 (Illinois)
Definition
Definition to come...
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