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CLARK MEDICAL, PLLC
NPI 1164905535
Family Medicine in Phoenix, AZ

Active since September 12, 2018
2601 N 3RD ST STE 106, PHOENIX, AZ 85004(405) 693-5612 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK MEDICAL, PLLC (NPI 1164905535) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since September 2018. The organization lists Phillip Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1164905535
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLARK MEDICAL, PLLC
Location Address2601 N 3RD ST STE 106Phoenix, AZ 85004-1144
Mailing Address2601 N 3rd St Ste 106Phoenix, AZ 85004-1144 · (405) 693-5612
Phone(405) 693-5612
Organization SubpartNo
Authorized OfficialPhillip ClarkOwner · (405) 693-5612
Enumeration DateSeptember 12, 2018
✔ NPI 1164905535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2601 N 3RD ST STE 106, Phoenix, AZ 85004
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAG MEDICAL & STAFFING
Physician Assistant (Medical)
2601 N 3RD ST STE 106
PHOENIX, AZ 85004
Maricopa County (254) 931-8298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Medical, PLLC's NPI number?

The NPI number for Clark Medical, PLLC is 1164905535. It was assigned to this organization in the NPPES registry on September 12, 2018.

Where is Clark Medical, PLLC located?

Clark Medical, PLLC is located at 2601 N 3rd St Ste 106, Phoenix, AZ 85004. The listed phone number is (405) 693-5612.

What is Clark Medical, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clark Medical, PLLC was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.