GREGORY P CLARK

POWELL, WY
NPI1730170796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  203)
Enumeration Date2005-10-31
Last Update Date2015-05-13
Business Address
GREGORY P CLARK P.A.
777 AVENUE H POWELL VALLEY HEALTHCARE INC
POWELL, WY 82435
Phone number: 307-754-3405
Mailing Address
GREGORY P CLARK P.A.
777 AVENUE H
POWELL, WY 82435
Phone number: 307-754-3405
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