Individual provider · Type 1 NPI

Edgar T. Clark, MD

Diagnostic Radiology Physician · Flagstaff, AZ

NPI number 1295780401 Active

Practice location

77 W Forest Ave, Suite 101
Flagstaff, AZ 86001-1479

Call (928) 773-2515 Map

Fax (928) 773-2240

Mailing address

Dept 2018, PO Box 29675
Phoenix, AZ 85038-9675

Specialties and licenses

TaxonomyCodeLicense
Nuclear Medicine Physician 207U00000X7408 (AZ)
Diagnostic Radiology Physician Primary 2085R0202X7408 (AZ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295780401

Edgar T. Clark, MD's National Provider Identifier is 1295780401, issued on May 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Flagstaff, AZ. The record was last updated on May 9, 2008.