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Individual

CLARK IAN ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3126 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251
(480) 874-2040
(480) 355-0787
Mailing address
3126 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6912
(480) 874-2040
(480) 355-0787

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
75997-20
WI
207X00000X
Orthopaedic Surgery Physician
Primary
76078
AZ

Other

Enumeration date
03/30/2020
Last updated
07/28/2025
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