Individual
ADAM S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-5261
(260) 407-8006
Mailing address
PO BOX 7112, DPT 31, INDIANAPOLIS, IN 46207-7112
(317) 802-3151
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99030321
IN
Other
Enumeration date
02/13/2008
Last updated
03/24/2021
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