Individual provider · Type 1 NPI

Clark Richard Bingham, PA-C

Medical Physician Assistant · Mesa, AZ

NPI number 1730775396 Active

Practice location

2855 E Brown Rd Ste 28
Mesa, AZ 85213-4217

Call (480) 625-4538 Map

Fax (480) 625-4561

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8309 (AZ)
Physician Assistant 363A00000X8309 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1730775396

Clark Richard Bingham, PA-C's National Provider Identifier is 1730775396, issued on Dec 17, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Sep 8, 2025.