Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John W. Clark PA

Organization Customized Equipment (DME) · NPI 1275904435

John W. Clark PA is a Customized Equipment (DME) in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2015.

Licensed in
ME
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

753 Stillwater Ave
Bangor, ME 04401-3633
Phone: (207) 990-5887
Fax: (207) 307-7002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 3365 (ME)

Record details

NPI number1275904435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Clark — President · (207) 564-8197
NPI enumeratedOctober 14, 2015
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address753 Stillwater Ave, Bangor, ME 04401-3633

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