Search › Arizona › 101YM0800X
Ronald Clark
NPI 1003936824 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3846 E Dartmouth St
Mesa, AZ 85205 - Phone
- (480) 229-1722
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona