Organization
ELEANOR A. CLARK, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR A. CLARK MD (PRESIDENT)
(520) 836-1760
Entity
Organization
Contact information
Practice address
1821 N TREKELL RD, SUITE 1, CASA GRANDE, AZ 85122-1705
(520) 836-1760
(520) 836-3033
Mailing address
1821 N TREKELL RD, SUITE 1, CASA GRANDE, AZ 85122-1705
(520) 836-1760
(520) 836-3033
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16389
AZ
Other
Enumeration date
06/19/2008
Last updated
09/30/2011
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