Individual provider · Type 1 NPI
Eleanor Ann Clark, MD
Gynecology Physician · Casa Grande, AZ
NPI number
1114928546
Active
Practice location
1780 E Florence Blvd, Suite 108
Casa Grande, AZ 85122-4782
Fax (520) 381-6040
Mailing address
1780 E Florence Blvd Ste 108
Casa Grande, AZ 85122-4782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 16389 (AZ) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
4 other providers at this address
- Greater Arizona Gastroenterology & Associates PCGastroenterology Physician Casa Grande, AZ NPI 1528051620
- Henry L Givre MD FCCP PCPulmonary Disease Physician Casa Grande, AZ NPI 1619351210
- Nadeem A. Kazi, MDGastroenterology Physician Casa Grande, AZ NPI 1518963198
- Zachary Kopecky, PA-CMedical Physician Assistant Casa Grande, AZ NPI 1730859992
About NPI 1114928546
Eleanor Ann Clark, MD's National Provider Identifier is 1114928546, issued on Aug 9, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Casa Grande, AZ. The record was last updated on Aug 18, 2014.