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

Spencer Clark

Individual provider Diagnostic Radiology Physician · NPI 1033557269

Spencer Clark is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2013, 13 years ago. Practices with Banner Imaging Services LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
AZ
In the registry since
2013
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Practice location Address checks out

2323 W Rose Garden Ln
Phoenix, AZ 85027-2530
Phone: (602) 521-6200
Fax: (623) 842-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 008044 (AZ)

Record details

NPI number1033557269
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address13333 Northwest Fwy Ste 540, Houston, TX 77040-6166

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2013 (13 years in practice)
Group practice Banner Imaging Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations25 on file with Medicare

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