Most Relevant Information
Provider Data
| NPI Number: | 1003546862 |
| Provider Name: | AARON JONATHAN CLARK PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 12/11/2022 |
Provider Practice Location
1900 PINE ST
ABILENE
TX
796012432
Practice Location Phone/Fax
| Phone: | 8019891565 |
| Fax: |
Provider Mailing Location
2777 E CHERRY LN
LAYTON
UT
840407707
Provider Mailing Phone/Fax
| Phone: | 8019891565 |
| Fax: |