Organization
DOUGLAS A CLARK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS A CLARK M.D. (OWNER)
(480) 839-0008
Entity
Organization
Contact information
Practice address
2055 E SOUTHERN AVE, SUITE G, TEMPE, AZ 85282-7507
(480) 839-0008
(480) 838-3333
Mailing address
2055 E SOUTHERN AVE, SUITE G, TEMPE, AZ 85282-7507
(480) 839-0008
(480) 838-3333
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14762
AZ
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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