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1164905535
CLARK MEDICAL, PLLC
PHOENIX, AZ
NPI
1164905535
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Entity Type
Organization
Authorized Contact
PHILLIP CLARK
Owner
405-693-5612
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
CLARK MEDICAL, PLLC
2601 N 3RD ST STE 106
PHOENIX, AZ 85004-1144
Phone number: 405-693-5612
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Mailing Address
CLARK MEDICAL, PLLC
2601 N 3RD ST STE 106
PHOENIX, AZ 85004-1144
Phone number: 405-693-5612
Copy
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