Charles Clark Jr, DC - Chiropractor in Glendale, AZ

Charles Clark Jr, DC is a Chiropractor based in Glendale, Arizona. Charles Clark Jr is licensed to practice in Arizona (license number 7094) and his current practice location is 16222 N 59th Ave, Suite A100, Glendale, Arizona. He can be reached at his office (for appointments etc.) via phone at (623) 334-4000.

NPI number for Charles Clark Jr is 1003119272 and his current mailing address is 16222 N 59th Ave, Suite A100, Glendale, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003119272.

Contact Information

Charles Clark Jr, DC
16222 N 59th Ave, Suite A100,
Glendale, AZ 85306-1705
(623) 334-4000
(623) 334-4400



Healthcare Provider's Profile

Full NameCharles Clark Jr
GenderMale
SpecialityChiropractor
Location16222 N 59th Ave, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003119272
  • Provider Enumeration Date: 12/10/2010
  • Last Update Date: 02/08/2017

Medical Identifiers

Medical identifiers for Charles Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003119272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 7094 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Clark Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Clark Jr, DC
16222 N 59th Ave, Suite A100,
Glendale, AZ 85306-1705

Ph: (623) 334-4000
Charles Clark Jr, DC
16222 N 59th Ave, Suite A100,
Glendale, AZ 85306-1705

Ph: (623) 334-4000

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› Verified 9 days ago


Chiropractor in Glendale, AZ

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