ELLIOTT N CLARK

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

Dr ELLIOTT N CLARK is a male medical professional, specializing in Physician Assistant. He graduated in 2017.

Contact

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

444 N MAIN ST
AKRON
OH
443103110

Tel: 3307622262

ELLIOTT N CLARK Information

Npi 1386152049
Pac Id 2668732884
Professional Enrollment Id I20180208002051
Last Name CLARK
First Name ELLIOTT
Middle Name N
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Group Practice Pac Id 6507934015
Number Of Group Practice Members 18
Line 1 Street Address 444 N MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AKRON
State OH
Zip Code 443103110
Phone Number 3307622262
Hospital Affiliation Ccn 1 360351
Hospital Affiliation Lbn 1 CRYSTAL CLINIC ORTHOPAEDIC CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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