person
Ryan Clark, PA
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1962648121

Ryan Clark is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Ryan Clark practices in Philadelphia, PA and has the professional credentials of PA. The NPI Number for Ryan Clark is 1962648121 and holds a License No. MA053613 (Pennsylvania).

The current practice location address for Ryan Clark is 5501 Old York Rd, Philadelphia, PA and can be reached out via phone at 215-456-1754.

Location: 5501 Old York Rd, Philadelphia, PA, 19120-2421
person
Provider Profile Details
NPI Number
1962648121
Provider Name
Ryan Clark
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5501 Old York Rd, Philadelphia, PA, 19120-2421
Phone Number
215-456-1754
Fax Number
Provider Enumeration Date
12/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Old York Rd
City
State
Zip
19141-3018
Phone Number
215-456-1754
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Old York Rd
City
State
Zip
19141-3018
Phone Number
215-456-1754
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA053613 (Pennsylvania)
Definition
Definition to come...
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