Whalio Doctors

NPI 1114928546

Eleanor Ann Clark, MD

Practitioner Gynecology Physician Casa Grande, AZ

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
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence 16389 (AZ)

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.