Ryan Clark, PHYSICIAN ASSISTANT

Individual Active
NPI 1013335496
Medical Physician Assistant West Frankfort, IL

Ryan Clark, PHYSICIAN ASSISTANT is a medical physician assistant practicing in West Frankfort, IL. The NPI was issued on April 2, 2014, and the record was last updated in NPPES on August 16, 2014. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2014. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 085005075 (IL)
Physician Assistant 363A00000X 2014009216 (MO)

Practice location

309 W Saint Louis St
West Frankfort, IL 62896-2099
Phone: (618) 932-2200

Local context

Active NPPES records list 21 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 687 in Illinois and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Ryan Patrick Clark
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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