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

Gregory P Clark, PA

Individual provider Physician Assistant · NPI 1730170796

Gregory P Clark, PA is a Physician Assistant in Powell, Wyoming. Qualified in 1998, 28 years ago. Practices with Holistic Pain Management of Wyoming LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
28
Licensed in
WY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

777 Avenue H Powell Valley Healthcare Inc
Powell, WY 82435
Phone: (307) 754-3405
Fax: (307) 754-1207
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 203 (WY)

Record details

NPI number1730170796
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESMay 13, 2015
Mailing address777 Avenue H, Powell, WY 82435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Holistic Pain Management Of Wyoming Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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