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Nathaniel Clark, PA
Physician Assistant in Carbondale, Illinois
NPI 1063660074

Nathaniel Clark is a Physician Assistant based in Carbondale, IL. Nathaniel Clark practices in Carbondale, IL and has the professional credentials of PA. The NPI Number for Nathaniel Clark is 1063660074 and holds a License No. 085-003278 (Illinois).

The current practice location address for Nathaniel Clark is 409 W Oak St, Carbondale, IL and can be reached out via phone at 618-529-4455 and via fax at 618-351-1287. You can also correspond with Nathaniel Clark through the mailing address at 409 W OAK ST, CARBONDALE, IL - 62901-1464 (mailing address contact number: 618-529-4555).

Location: 409 W Oak St, Carbondale, IL, 62901-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063660074
Provider Name
Nathaniel Clark
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
409 W Oak St, Carbondale, IL, 62901-1464
Phone Number
618-529-4455
Fax Number
618-351-1287
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00657126 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901-1464
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider Business Mailing Address Details
Address
409 W Oak St
City
Carbondale
State
Illinois
Zip
62901-1464
Phone Number
618-529-4455
Fax Number
618-351-1287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
085003278 (Illinois)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-003278 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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