Individual
JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 N 7TH ST STE B112, PHOENIX, AZ 85014-2840
(480) 571-6761
Mailing address
PO BOX 225, HOBOKEN, GA 31542-0225
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
128756
MT
207RR0500X
Rheumatology Physician
Primary
38204
GA
Other
Enumeration date
02/21/2020
Last updated
08/05/2024
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