| Clinton Edward Clarke, MD | |
|
1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | |
| (602) 839-2668 | |
| (602) 839-2067 |
| Full Name | Clinton Edward Clarke |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1300 N 12th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164459319 | NPI | - | NPPES |
| Z145980 | Other | AZ | MEDICARE PTAN |
| P00616915 | Other | AZ | RAILROAD MEDICARE |
| P00745791 | Other | AZ | RAILROAD MEDICARE 8/1/09 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 33324 (Arizona) | Secondary |
| 207N00000X | Dermatology | 33324 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Edward Clarke, MD 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 Ph: (602) 839-2668 | Clinton Edward Clarke, MD 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 Ph: (602) 839-2668 |
Dr. Stella Xiang Chen, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Jenna Koblinski, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1331 N 7th St Ste 250, Phoenix, AZ 85006 Phone: 602-483-6504 Fax: 602-354-5607 | |
Christopher Bengson, M.D., M.H.S. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 Fax: 602-200-5383 | |
Brent Drew Sloten, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4550 E Bell Rd Bldg 5, Phoenix, AZ 85032 Phone: 480-666-5568 Fax: 702-297-6238 | |
Dr. Karen Taraszka Hastings, MD, PHD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 650 E Indian School Rd, Dermatology Clinic/copper Clinic, Phoenix, AZ 85012 Phone: 602-277-5551 | |
Dr. David Israel Andrews, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0895 Fax: 602-933-2436 | |
Richard George Bottiglione, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4045 E Bell Rd, 125, Phoenix, AZ 85032 Phone: 602-971-0268 Fax: 602-971-1556 |