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

William Clark

Individual provider Medical Physician Assistant · NPI 1184362659

William Clark is a Medical Physician Assistant in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

1042 Willow Creek Rd
Prescott, AZ 86301-1673
Phone: (928) 379-0838
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 9297 (AZ)

Record details

NPI number1184362659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2022
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address1042 Willow Creek Rd, Prescott, AZ 86301-1673

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