1295780401 Edgar T Clark, M.D.
Diagnostic Radiology Physician
Active
Basic Information
- Full Name
- Edgar T Clark, M.D.
- Gender
- Male
- Enumeration Date
- May 24, 2006
- Last Update
- May 9, 2008
Practice Location
- Address
- 77 W FOREST AVE
SUITE 101
FLAGSTAFF, AZ 860011479 - Phone
- (928) 773-2515
- Fax
- (928) 773-2240
Mailing Address
- Address
- DEPT 2018
PO BOX 29675
PHOENIX, AZ 850389675 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | Nuclear Medicine | 7408 | AZ | No |
| Diagnostic Radiology Physician Diagnostic Radiology | 2085R0202X | Radiology | 7408 | AZ | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053783 | 05 | IA | N/A |
| 235813 | 05 | AZ | N/A |
| 8602594002/Z1339 | 05 | UT | N/A |
| 053783 | 05 | CA | N/A |
| B8407 | 05 | NM | N/A |
Frequently Asked Questions
What is Edgar T Clark, M.D.'s NPI number?
Edgar T Clark, M.D.'s NPI number is 1295780401.
Which doctor has NPI number 1295780401?
The doctor with NPI number 1295780401 is Edgar T Clark, M.D..
What is Edgar T Clark, M.D.'s practice address?
Edgar T Clark, M.D.'s practice address is 77 W FOREST AVE, SUITE 101, FLAGSTAFF, AZ, 860011479.
Which doctor practices at 77 W FOREST AVE, SUITE 101, FLAGSTAFF, AZ, 860011479?
Edgar T Clark, M.D. practices at 77 W FOREST AVE, SUITE 101, FLAGSTAFF, AZ, 860011479.
What is Edgar T Clark, M.D.'s mailing address?
Edgar T Clark, M.D.'s mailing address is DEPT 2018, PO BOX 29675, PHOENIX, AZ, 850389675.
What is Edgar T Clark, M.D.'s phone number?
Edgar T Clark, M.D.'s phone number is (928) 773-2515.
Who is (928) 773-2515?
(928) 773-2515 is the phone number for Edgar T Clark, M.D..
What is Edgar T Clark, M.D.'s specialty?
Edgar T Clark, M.D.'s specialty is Diagnostic Radiology Physician.
What type of doctor is Edgar T Clark, M.D.?
Edgar T Clark, M.D. is a Diagnostic Radiology Physician.
Is Edgar T Clark, M.D. a Diagnostic Radiology?
Yes, Edgar T Clark, M.D. is a Diagnostic Radiology.
Is Edgar T Clark, M.D. still practicing?
Yes, Edgar T Clark, M.D. is currently practicing.
Is Edgar T Clark, M.D. accepting new patients?
Edgar T Clark, M.D. may be accepting new patients. Please call their office at (928) 773-2515 to inquire about availability.
Is NPI 1295780401 still active?
Yes, NPI 1295780401 is currently active.
Where does Edgar T Clark, M.D. practice?
Edgar T Clark, M.D. practices in FLAGSTAFF, AZ.
Is Edgar T Clark, M.D. a male or female doctor?
Edgar T Clark, M.D. is a male doctor.