Eleanor a. Clark, MD,PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

16389 Issued in AZ

Legal business name

ELEANOR A. CLARK, MD,PC

Practice address

1821 N Trekell Rd
Suite 1
Casa Grande, AZ 85122-1705

Phone

(520) 836-1760

Fax

(520) 836-3033

NPI assigned

Jun 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eleanor A. Clark, MD

Title

President

Phone

(520) 836-1760

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1871754184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-836-1760",
            "fax_number": "520-836-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-836-1760",
            "fax_number": "520-836-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR A. CLARK, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-836-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "16389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.