| Jordan Joseph Clark, PA-C | |
|
814 Marshall Dr, Fort Riley, KS 66442 | |
| (785) 240-1125 | |
| Not Available |
| Full Name | Jordan Joseph Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 814 Marshall Dr, Fort Riley, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336701911 | NPI | - | NPPES |
| 15-02330 | Other | KS | KSBHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02330 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Joseph Clark, PA-C Bldg 650 Huebner Rd, Fory Riley, KS 66442 Ph: () - | Jordan Joseph Clark, PA-C 814 Marshall Dr, Fort Riley, KS 66442 Ph: (785) 240-1125 |
Scott R Leduc, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7000 | |
Mr. Jeffery Keith Mincks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Caisson Hill Road, Ctmc, Fort Riley, KS 66442 Phone: 785-239-4411 | |
Jeffrey Shiaw-guang Hsieh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7672 Estes Rd, Fort Riley, KS 66442 Phone: 626-289-2289 | |
John Richard Gralow, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Road, Irwin Army Community Hospital, Fort Riley, KS 66442 Phone: 785-239-7155 Fax: 785-239-7364 | |
Miss Drew J. Marr, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Road, Attn: Mcxx-cld-qm, Fort Riley, KS 66442 Phone: 785-239-7155 Fax: 785-239-7364 | |
Elizabeth Shannon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-7356 | |
Bertis Thomas Mcmillan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Road Attn: Mcxx-cld-qm (credentials), Irwin Army Community Hospital Attn: Mrs Terry L. Hill, Fort Riley, KS 66442 Phone: 785-239-7155 |