Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD ALAN CLARK, MD
ActiveDR. RICHARD ALAN CLARK, MD is a Family Medicine healthcare provider located in LUKE AFB HOSPITAL, Arizona. NPI 1700863701 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LUKE AFB HOSPITAL, AZ
Registration Details
- NPI Number
- 1700863701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2005 (20.617018019226 yrs)
- Last Updated
- Mar 11, 2009
- License
-
29948 (AZ)
Practice Information
- Address
-
7219 N LITCHFIELD RDLUKE AFB HOSPITAL, AZ, 853091525Browse AZ providers · Browse ZIP 85309
- Phone
- 6238563763
- Primary Specialty
-
Family Medicine
207Q00000X
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.