Dwight S. Clarke, Md, Pllc

LBN: Dwight S. Clarke, Md, Pllc
Dwight S. Clarke, Md, Pllc is an health care organization with primary practice located at 340 E Palm Ln Ste 260, Phoenix AZ 85004-4603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Dwight S. Clarke, Md, Pllc can be contacted via phone (602) 254-1136, or through Ronsman, Bobbie via phone (602) 395-0718.

Contact Information

Primary practice address
340 E Palm Ln Ste 260 Phoenix AZ 85004-4603
Phone: (602) 254-1136
Fax: (602) 279-1720
Website:
Map and Directions
Authorized official contact:
Name: Ronsman, Bobbie
Phone: (602) 395-0718

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1114150778
LBN Legal business name Dwight S. Clarke, Md, Pllc
DBA Doing business as
Authorized official Ronsman, Bobbie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2009
Last updated Jul 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114150778 NPPES
Arizona MEDICAID 859142

Popular Providers