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

Ryan Clark, PA

Individual provider Medical Physician Assistant · NPI 1962648121

Ryan Clark, PA is a Medical Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
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

5501 Old York Rd Willlowcrest Bldg 4TH Fl
Philadelphia, PA 19141-3018
Phone: (215) 456-1754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053613 (PA)

Record details

NPI number1962648121
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2008
Last updated in NPPESDecember 18, 2008

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