Clark, Patricia L
Clark, Patricia L is an individual health care provider with primary practice located at 8880 E Desert Cove Ave , Scottsdale AZ 85260-6746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clark, Patricia L can be contacted via phone (480) 314-6670.Contact Information
Primary practice address
8880 E Desert Cove Ave
Scottsdale AZ 85260-6746
Phone: (480) 314-6670
Fax: (480) 257-1997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51951 | Arizona |
Profile Details
| NPI number | 1053335349 |
|---|---|
| LBN Legal business name | Clark, Patricia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Nov 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053335349 | NPPES |
| Arizona | MEDICAID | 135033 |
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