Grant William Clark
Grant William Clark is a Physician Assistant in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2025.
- Licensed in
- IA
- In the registry since
- 2025
Practice location Address checks out
1825 Logan AveWaterloo, IA 50703-1916
Phone: (319) 235-3941
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 141166 (IA) |
|---|
Record details
| NPI number | 1134007487 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 25, 2025 |
| Last updated in NPPES | September 23, 2026 |
| Certification date | September 23, 2026 |
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