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

Individual provider Orthopaedic Surgery Physician · NPI 1396892907

Douglas A Clark, MD is an Orthopedic Surgery in Tempe, Arizona. Graduated from Loma Linda University School of Medicine in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
49
Trained at
Loma Linda University School of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2055 E Southern Ave Ste G
Tempe, AZ 85282-7507
Phone: (480) 839-0008
Fax: (480) 838-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 14762 (AZ)

Record details

NPI number1396892907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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