Clark, Brandon

Clark, Brandon is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Clark, Brandon can be contacted via phone (928) 779-7880.

Contact Information

Primary practice address
107 E Oak Ave Flagstaff AZ 86001
Phone: (928) 779-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 6862 Arizona

Profile Details

NPI number 1174844138
LBN Legal business name Clark, Brandon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated Jun 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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