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

Dr. Clarence E. Clark, MD

Individual provider Surgery Physician · NPI 1952582397

Dr. Clarence E. Clark, MD is a Colorectal Surgery (Proctology) in Chandler, Arizona. Graduated from Pennsylvania State University College of Medicine in 2004, 22 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
22
Trained at
Pennsylvania State University College of Medicine
Licensed in
AZ
In the registry since
2007
Specialties on file
2
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

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone: (480) 728-4700
Fax: (480) 728-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 61606 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 61606 (AZ)

Record details

NPI number1952582397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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