Search › Arizona › 207Q00000X
Benjamin Clark, D.O
NPI 1831400894 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1840 S Stapley Dr Ste 101
Mesa, AZ 85204 - Phone
- (480) 464-6979
- Fax
- (480) 464-6910
- Organisation at this address
- Lhcg Clxxi, Llc
Lhcg Clxxii, Llc
Vhs Outpatient Clinics, Inc.
Honorhealth Medical Group, Llc
Cigna Health Care Of Arizona IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 5891 W Eugie Ave, Glendale, AZ
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona