PHILIP CLARK LDO – NPI #1295142362
Technician/Technologist

PHILIP CLARK is a technician located in PHOENIX, AZ. NPPES has assigned the NPI number 1295142362 to PHILIP CLARK on July 21, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 156FX1800X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Optician

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILIP CLARK below.

NPI Profile for
PHILIP CLARK

NPI Number
1295142362
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILIP CLARK
Credentials
LDO
Primary location
4201 N 16TH ST
160
PHOENIX, AZ 85016-5347
Phone: (602) 277-5007 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1800X
- Technician/Technologist / Optician (Primary)
AZ 417

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.