Alexander Clark, PA-C
Individual provider Active NPI Physician Assistant · Clifton, VA
NPI 1962235614 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1962235614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 13636 Rock Flint CT
Clifton, VA 20124-2410 - Phone
- (571) 308-5002
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
13636 Rock Flint CT
Clifton, VA 20124-2410
Mailing address
13636 Rock Flint CT
Clifton, VA 20124-2410
Other providers in Clifton, VA
- Titus Butia
- Claire Josephine Campos
- Care for Children International, Inc.
- Erica Cavaluzzi
- Deborah Heylim Chung
- Lisa Clarkson
- Classic Caregivers
- Clementine Twin Lakes, LLC
- Gale Otello Cleveland
- Morgan Cripe
All providers in Clifton, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.