Physician Assistant
Mr. JUSTIN CLARK PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801493226 · enumerated 2020-10-08 · record updated 2026-06-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 330 E ROOSEVELT ST APT 3025, PHOENIX, AZ, 85004-4306 (260) 312-7090 Fax (602) 603-5322 Google Maps Apple Maps OpenStreetMap
- Practice location 645 E MISSOURI AVE STE 300, PHOENIX, AZ, 85012-1351 (480) 500-2545 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 9159 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850121351
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.