Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Clark Jr., DC

Individual provider Chiropractor · NPI 1003119272

Charles Clark Jr., DC is a Chiropractor in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

16222 N 59th Ave Ste A100
Glendale, AZ 85306-1705
Phone: (623) 334-4000
Fax: (623) 334-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7094 (AZ)

Record details

NPI number1003119272
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 10, 2010
Last updated in NPPESFebruary 8, 2017

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