Individual
DR. CHERYL CHARMAINE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME121900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171353905
—
TX
Enumeration date
05/02/2006
Last updated
04/23/2024
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