Charles Joseph Clancy, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Walton Beach, FL

NPI

1669410924

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA9103700 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-02

Last updated

2010-11-15