Mr. Mark S Clark, PA
Physician Assistant, Medical in Greenfield, New Hampshire
1235115213- Practice location
- 1 Verney Drive, Greenfield, NH 03047
- Phone
- 603-305-0628
- Fax
- —
- Last updated
- March 18, 2014
Mark Steven Clark is a Physician Assistant, Medical based in Greenfield, NH. Mark Steven Clark practices in Greenfield, NH and has the professional credentials of PA. The NPI Number for Mark Steven Clark is 1235115213 and holds a License No. 0362 (NH). The current practice location address for Mark Steven Clark is 1 Verney Drive, Greenfield, NH 03047 and can be reached out via phone at 603-305-0628.
Provider Profile Details
- NPI Number
- 1235115213
- Provider Name
- Mark Steven Clark
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Verney Drive, Greenfield, NH 03047
- Phone Number
- 603-305-0628
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 21, 2005
- Last Update Date
- March 18, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Verney Drive
Greenfield, NH 03047 - City
- Greenfield
- State
- New Hampshire
- Zip
- 03047
- Phone Number
- 603-305-0628
Provider Business Mailing Address Details
- Address
- 38 Cortland Dr
Bedford, NH 03110-4224 - City
- Bedford
- State
- NH
- Zip
- 03110-4224
License Information
- License Number (1)
- 0362
- License State (1)
- NH
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 0362
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark S Clark, PA?
The NPI number of Mr. Mark S Clark, PA is 1235115213. It was assigned on December 21, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark S Clark, PA?
Mr. Mark S Clark, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NH under license number 0362.
Where does Mr. Mark S Clark, PA practice?
The practice location is 1 Verney Drive, Greenfield, NH 03047. The office can be reached at 603-305-0628 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235115213 directly on the NPPES registry website.