Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELEANOR ANN CLARK, M.D.
ActiveMRS. ELEANOR ANN CLARK, M.D. is a Gynecology healthcare provider located in CASA GRANDE, Arizona. NPI 1114928546 is currently active in the NPPES registry. Verify at CMS.
Gynecology · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1114928546
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (21.036882883021 yrs)
- Last Updated
- Aug 18, 2014
- License
-
16389 (AZ)
Practice Information
- Address
-
1780 E FLORENCE BLVDSUITE 108CASA GRANDE, AZ, 851224782Browse AZ providers · Browse ZIP 85122
- Phone
- 5203816758
- Fax
- 5203816040
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.