NPI 1114928546
Eleanor Ann Clark, MD
Practice location
- Address
- 1780 E Florence Blvd Suite 108, Casa Grande, AZ 85122-4782
- Phone
- (520) 381-6758
- Fax
- (520) 381-6040
- Mailing address
- 1780 E Florence Blvd STE 108, Casa Grande, AZ 85122-4782
Registered specialties
Gynecology Physician
Primary
Registry record
- NPI
- 1114928546
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2005
- Record last updated
- 18 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.