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Contact Information

CRAIG A CLARK, PA-C
3579 ARLINGTON AVE STE 300
RIVERSIDE, CA92506-3915
 Phone: 951-341-9333
 Fax: 951-341-9330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CRAIG A CLARK · (Male)

NPI Number 1952015802
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/05/2023
Last updated 01/05/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 10026
  • CA Other 10026 PHYSICIAN ASSISTANT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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