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1174844138
BRANDON CLARK
FLAGSTAFF, AZ
NPI
1174844138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: AZ 6862)
Enumeration Date
2010-06-14
Last Update Date
2019-06-17
Business Address
BRANDON CLARK DO
107 E OAK AVE
FLAGSTAFF, AZ 86001
Phone number: 928-779-7880
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Mailing Address
BRANDON CLARK DO
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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