Clark Medical and Post-Acute Services, LLC
Clark Medical and Post-Acute Services, LLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10810 N Tatum Blvd Ste 102-107Phoenix, AZ 85028-6055
Phone: (602) 568-4362
Fax: (602) 584-5955
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1437851417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randolph Clark — President · (602) 568-4362 |
| NPI enumerated | March 21, 2023 |
| Last updated in NPPES | March 21, 2023 |
| Certification date | March 20, 2023 |
| Mailing address | 10810 N Tatum Blvd Ste 102-107, Phoenix, AZ 85028-6055 |
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