Daxa Clarke, MD
Hospitalist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1790736205
StatusActive
Last updated in NPPESApr 3, 2017
Details
- NPI
- 1790736205
- Entity type
- Individual (NPI-1)
- Name
- Daxa Clarke
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2006
- Last updated
- Apr 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 35238 | AZ | Yes |
| 208000000X | Pediatrics | 35238 | AZ |
Other names
- Daxa Patel (Former Name)
Practice location
1919 E Thomas RdPhoenix, AZ 85016-7710
Phone 602-933-0777 · Fax 602-933-0755
Mailing address
3200 E Camelback RdSte 250
Phoenix, AZ 85018-2327
Phone 602-512-8029 · Fax 602-512-8161
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