Individual
BRANDON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001
(928) 779-7880
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6862
AZ
207XX0801X
Orthopaedic Trauma Physician
6862
AZ
Other
Enumeration date
06/14/2010
Last updated
04/15/2026
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