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

William Todd Clark, CSA

Individual provider Surgical Assistant · NPI 1407093875

William Todd Clark, CSA is a Surgical Assistant in Otisco, Indiana. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

305 Greenbriar Ct
Otisco, IN 47163-9601
Phone: (812) 256-6143
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1407093875
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 7, 2009
Mailing address305 Greenbriar Ct, Otisco, IN 47163-9601