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Individual
DR. PATRICIA LOUISE CLARKE
Active
Individual
DR. PATRICIA LOUISE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26877
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D0993675
CLIA
AZ
01
—
1073556379
CLARKE'S NPI
AZ
01
—
1154508273
SHEDOC NPI
AZ
01
—
26877
MEDICAL LICENSE
AZ
05
—
559239
—
AZ
01
—
Z66408
PTAN
AZ
Enumeration date
06/14/2006
Last updated
03/14/2022
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