Individual
ANNIE PAIGE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 SOUTHFIELD DR STE 1140, PLAINFIELD, IN 46168-4499
(317) 839-7200
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004591A
IN
Other
Enumeration date
10/14/2024
Last updated
01/06/2026
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