Most Relevant Information
Provider Data
| NPI Number: | 1003017229 |
| Provider Name: | DANIEL JAMES CLARK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 4708 |
Most Important Dates
| Enumeration Date: | 05/29/2007 |
| Last Updated: | 07/19/2022 |
Provider Practice Location
5330 S HIGHWAY 95
FORT MOHAVE
AZ
864269225
Practice Location Phone/Fax
| Phone: | 9287887115 |
| Fax: | 7708745483 |
Provider Mailing Location
5665 NEW NORTHSIDE DR
SUITE 320
ATLANTA
GA
303285831
Provider Mailing Phone/Fax
| Phone: | 7708745400 |
| Fax: | 7708745483 |