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1073506036
SAMUEL T CLARK
PHOENIX, AZ
NPI
1073506036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 27446)
Enumeration Date
2005-08-25
Last Update Date
2011-04-01
Business Address
-- SAMUEL T CLARK MD
4400 N 32ND ST STE 110
PHOENIX, AZ 85018-3953
Phone number: 602-956-9595
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Mailing Address
-- SAMUEL T CLARK MD
4400 N 32ND ST STE 110
PHOENIX, AZ 85018-3953
Phone number: 602-956-9595
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