Clinton Edward Clarke
Dermatologist Family Doctor - Sports Medicine
1300 N 12th St Suite 605
Phoenix
, Arizona 85006-2848
Clinton Edward Clarke
Dermatologist Family Doctor - Sports Medicine
1300 N 12th St Suite 605
Phoenix
, Arizona 85006-2848
(602) 839-2067
Write a Review Share Save Call
About
Features
Specialties
- Dermatologist
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Clinton Edward Clarke
- 1300 N 12th St Suite 605
- Phoenix, AZ
- Zip : 85006-2848
- Fax : (602) 839-2067
- Phone : (602) 839-2668
Second Address
- Clinton Edward Clarke
- 1300 N 12th St Suite 605
- Phoenix, AZ
- Zip : 85006-2848
- Fax : (602) 839-2067
- Phone : (602) 839-2668
Reviews
FAQs
Where did Clinton Edward Clarke attend graduate school?
Where did Clinton Edward Clarke do his residency?
Where did Clinton Edward Clarke do his fellowship?
Is Clinton Edward Clarke board certified?
What type of doctor is Clinton Edward Clarke
In what state does Clinton Edward Clarke practice in?
Where is Clinton Edward Clarke ’s practice located?
What is Clinton Edward Clarke ’s gender?
Is Clinton Edward Clarke a sole practitioner?
Is Clinton Edward Clarke accepting new patients?
What languages does Clinton Edward Clarke speak?
Does Clinton Edward Clarke accept insurance?
Does Clinton Edward Clarke offers telemedicine?
What is Clinton Edward Clarke ’s professional license number?
What is Clinton Edward Clarke ’s NPI number?
Does Clinton Edward Clarke have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 33324 | AZ |
| N | 207QS0010X | Family Doctor - Sports Medicine | 33324 | AZ |
National Provider Identifier
| NPI | 1164459319 |
|---|---|
| Provider Name | Clinton Edward Clarke |
| First Address | Phoenix, AZ 85006-2848 |
| Second Address | Phoenix, AZ 85006-2848 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 10/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00616915 | RAILROAD MEDICARE (01) | AZ |
| P00745791 | RAILROAD MEDICARE 8/1/09 (01) | AZ |
| Z145980 | MEDICARE PTAN (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.