NPI 1053335349

Patricia L Clark, MD

Practitioner Surgery Physician Fort Wayne, IN

Practice location

Address: 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739
Phone: (833) 724-8326
Fax: (260) 425-6845
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 01094461A (IN)

Other Surgery providers in Indiana →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 51951 (AZ)

Registry record

NPI: 1053335349
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2006
Record last updated: 2 Oct 2024

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.