JUSTIN CLARK

PHOENIX, AZ
NPI1801493226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9159)
Enumeration Date2020-10-08
Last Update Date2022-06-13
Business Address
Mr. JUSTIN CLARK PA-C
645 E MISSOURI AVE STE 300
PHOENIX, AZ 85012-1351
Phone number: 480-500-2545
Mailing Address
Mr. JUSTIN CLARK PA-C
320 E PORTLAND ST APT 405
PHOENIX, AZ 85004-1882
Phone number: 260-312-7090
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