Individual
SAMUEL T CLARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 N 32ND ST, STE 110, PHOENIX, AZ 85018-3953
(602) 956-9595
(602) 956-3232
Mailing address
4400 N 32ND ST, STE 110, PHOENIX, AZ 85018-3953
(602) 956-9595
(602) 956-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27446
AZ
Other
Enumeration date
08/25/2005
Last updated
04/01/2011
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