National Provider Identifier

Scott Earl Clark, RPAC

Scott Earl Clark, RPAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 691-8838.

NPI 1225119191Buffalo, NYPhysician Assistant

Profile Overview

NPI
1225119191
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 18, 2006
Last Updated
September 06, 2022

Practice Location

  • 6 Fountain Plaza
  • Buffalo, NY 14202

Phone: (716) 691-8838

Mailing Address

  • 150 S Main St
  • Batavia, NY 14020-1814

Specialties

  • Physician Assistant (363A00000X)

Endpoints

  • sclark139379@direct.rochestergeneral.org

    Direct Messaging Address | Direct | Batavia, NY 14020

Full Record
NPI
1225119191
Entity Type
Individual
Last Name
Clark
First Name
Scott
Middle Name
Earl
Credential
RPAC
Mailing Street Address
150 S Main St
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-1814
Mailing Country
US
Mailing Phone
(585) 344-2749
Practice Street Address
6 Fountain Plaza
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202
Practice Country
US
Practice Phone
(716) 691-8838
Enumeration Date
October 18, 2006
Last Updated
September 06, 2022
Sex
Male
Sole Proprietor
No
Certification Date
September 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)