NPI 1275904435
John W. Clark PA
Practice location
- Address
- 753 Stillwater Ave, Bangor, ME 04401-3633
- Phone
- (207) 990-5887
- Fax
- (207) 307-7002
Authorised official
- Name
- John W Clark
- Title
- President
- Phone
- (207) 564-8197
Registered specialties
Customized Equipment (DME)
Primary
Registry record
- NPI
- 1275904435
- Entity type
- Organization
- NPI issued
- 14 Oct 2015
- Record last updated
- 15 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.