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Contact Information

TREVOR B CLARKSON, DO
1111 E MCDOWELL RD
PHOENIX, AZ85006-2612
 Phone: 602-839-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TREVOR B CLARKSON · (Male)

NPI # 1851740567
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/03/2016
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 011354
  • TN License # 4396
Hospital affiliation(s)
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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