Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN T CLARK, D.O.
Active Sole ProprietorBENJAMIN T CLARK, D.O. is a Family Medicine healthcare provider located in MESA, Arizona. NPI 1831400894 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MESA, AZ
Registration Details
- NPI Number
- 1831400894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2010 (16.137299276113 yrs)
- Last Updated
- Dec 1, 2021
- License
-
006841 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1840 S STAPLEY DR STE 101MESA, AZ, 852046682Browse AZ providers · Browse ZIP 85204
- Phone
- 4804646979
- Fax
- 4804646910
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DONALD BABYAR | M.D. | 1558364646 |
| RICHARD LORIN MERKLEY | M.D. | 1326041096 |
| THOMAS EDWARD SUTTON | M.D. | 1225031982 |
| DONALD LYNN GRINER | D.O. | 1821091497 |
| COLLIN UDALL | M.D. | 1861495434 |
| GARY BEITLER | MD | 1639174493 |
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.