Provider Demographics
NPI:1295959724
Name:CLARKE, JAMES W (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:CLARKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5150 S 375 E STE 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TERRACE
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4503
Mailing Address - Country:US
Mailing Address - Phone:801-475-6532
Mailing Address - Fax:801-475-6182
Practice Address - Street 1:700 W 800 N STE 140
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-6301
Practice Address - Country:US
Practice Address - Phone:801-852-0210
Practice Address - Fax:801-852-0215
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT7261255-12052085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology