Search › Ohio › 363A00000X

Timothy Clark, RPA-C

NPI 1629027974 · on the registry since 2006

Practice

Address
1200 Vester Ave
Springfield, OH 45503
Phone
(937) 828-2051
Fax
(937) 828-2052

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio