| NPI | 1265852529 |
|---|---|
| Doing Business As | THE CLARK CLINIC FOR ADULT HEALTHCARE & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH A CLARK Member 480-860-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |