Clark B Wysong, MD
Clark B Wysong, MD is a Family Practice in Glendale, Arizona. Graduated from University of Oklahoma College of Medicine in 1994, 32 years ago. Practices with Sonoran Medical Centers, a 12-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 32
- Trained at
- University of Oklahoma College of Medicine
- Licensed in
- AZ
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
19875 N 51st AveGlendale, AZ 85308-5114
Phone: (623) 581-8998
Fax: (623) 581-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 25168 (AZ) |
|---|
Record details
| NPI number | 1861469165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 6, 2006 |
| Last updated in NPPES | January 10, 2013 |
| Mailing address | 19875 N 51st Ave, Glendale, AZ 85308-5114 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduated | 1994 (32 years in practice) |
| Group practice | Sonoran Medical Centers — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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