IndividualActive
John Clark, PA-C
NPI 1841228889 · Surgical Physician Assistant · Damariscotta, ME
Provider details
- NPI number
- 1841228889
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-319 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
39 Miles St.
Damariscotta, ME 04543-0000
Phone: (207) 563-1040
Fax: (207) 563-1039
Approximate (ZIP-level) locationGet directions
Mailing address
4 Glen Cove Dr Ste 206
Rockport, ME 04856-4239
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2018-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.