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Individual

JAMES P CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 941-7509
(480) 941-0890
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17282
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257578
AZ
Enumeration date
03/24/2006
Last updated
10/06/2008
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