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

Bonnie Clark, PAC

Individual provider Medical Physician Assistant · NPI 1508899170

Bonnie Clark, PAC is a Medical Physician Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5400 Gibson Blvd SE
Albuquerque, NM 87108-4729
Phone: (505) 262-7026
Fax: (505) 727-9276
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 79-PA004 (NM)

Record details

NPI number1508899170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESDecember 18, 2008

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