Healthcare Provider Details

I. General information

NPI: 1932800232
Provider Name (Legal Business Name): MICHAEL CLARFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWEL ROAD
PHOENIX AZ
85006
US

IV. Provider business mailing address

9290 E THOMPSON PEAK PKWY UNIT 486
SCOTTSDALE AZ
85255-4519
US

V. Phone/Fax

Practice location:
  • Phone: 416-709-4781
  • Fax:
Mailing address:
  • Phone: 416-709-4781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number66920
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: