MEDICARE: SAMUEL T CLARK II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	27446	AZ

General Provider Information

NPI Number	:	1073506036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL T CLARK II MD

Provider Business Mailing Address
First Line	:	4400 N 32ND ST
Second Line	:	STE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-956-9595
Fax Number	:	602-956-3232

Provider Business Practice Location Address
First Line	:	4400 N 32ND ST
Second Line	:	STE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-956-9595
Fax Number	:	602-956-3232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/01/2011

Similar Medicare Providers

1548252513 — DR. BRUCE A. BETHANCOURT JR. M.D.
Practice Location Address:

4400 N 32ND ST , SUITE 140
PHOENIX, AZ
85018-3953

Practice Phone: 602-254-4424
Practice Fax: 602-254-6036

1467447979 — RAMI LIPSON DC
Practice Location Address:

4400 N 32ND ST , STE 110
PHOENIX, AZ
85018-3953

Practice Phone: 602-956-9595
Practice Fax: 602-956-3232

1215913884 — DR. WAYNE E KUHL MD
Practice Location Address:

4400 N 32ND ST , SUITE 200
PHOENIX, AZ
85018-3953

Practice Phone: 602-522-1900
Practice Fax: 602-381-3281

1558347153 — DR. JOHN V DEGUZMAN MD
Practice Location Address:

4400 N 32ND ST , SUITE 140
PHOENIX, AZ
85018-3953

Practice Phone: 602-258-4018
Practice Fax:

1336110576 — DR. TRENT H. SMITH M.D.
Practice Location Address:

4400 N 32ND ST , SUITE 140
PHOENIX, AZ
85018-3953

Practice Phone: 602-254-4424
Practice Fax: 602-254-6036

1477522340 — DR. ADRIAN ARYA MD
Practice Location Address:

4400 N 32ND ST , SUITE 220
PHOENIX, AZ
85018-3953

Practice Phone: 602-956-1250
Practice Fax: 602-956-7466

Directions to “ SAMUEL T CLARK II MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.