Individual
JAMES EDWARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N 40TH ST, PHOENIX, AZ 85008-6486
(602) 797-7700
Mailing address
18470 W SAGUARO LN, SURPRISE, AZ 85388-2354
(626) 318-6981
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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