Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgar T Clark, MD

Individual provider Nuclear Medicine Physician · NPI 1295780401

Edgar T Clark, MD is a Nuclear Medicine Physician in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

77 W Forest Ave Ste 101
Flagstaff, AZ 86001-1479
Phone: (928) 773-2515
Fax: (928) 773-2240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 7408 (AZ)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 7408 (AZ)

Record details

NPI number1295780401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESMay 9, 2008

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