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Individual

MICHAEL P CLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 347-5532
(518) 347-5409
Mailing address
800 N DUPONT BLVD, MILFORD, DE 19963-1019
(302) 672-2319
(302) 430-5448

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003307-1
NY

Other

Enumeration date
07/10/2006
Last updated
10/07/2021
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