MELISSA GAYLE CLARK

SPRINGFIELD, IL
NPI1598776882
Former NameMELISSA BOSTWICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002601)
Enumeration Date2006-08-11
Last Update Date2014-02-11
Business Address
Mrs. MELISSA GAYLE CLARK PA-C
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
Mailing Address
Mrs. MELISSA GAYLE CLARK PA-C
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706