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Search › Arizona › 163W00000X

Robert Clark

NPI 1912730557 · on the registry since 2024 · sole proprietor

Practice

Address
1 N Willard St
Cottonwood, AZ 86326
Phone
(928) 634-2288
Organisation at this address
Cottonwood Oak Creek Sd3#6
Cottonwood Oak Creek School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WS0200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-20

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