Individual
PAULA K CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6236
(701) 234-7332
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5015
(701) 234-7481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0237
ND
Other
Enumeration date
07/18/2006
Last updated
09/13/2010
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