Clark, Richard Alan
Clark, Richard Alan is an individual health care provider with primary practice located at 7219 N Litchfield Rd , Luke Afb Hospital AZ 85309-1525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Richard Alan can be contacted via phone (623) 856-3763.Contact Information
Primary practice address
7219 N Litchfield Rd
Luke Afb Hospital AZ 85309-1525
Phone: (623) 856-3763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29948 | Arizona |
Profile Details
| NPI number | 1700863701 |
|---|---|
| LBN Legal business name | Clark, Richard Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Mar 11th, 2009 - about 15 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.
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