IndividualActive
Brandon Clark, DO
NPI 1174844138 · Orthopaedic Surgery Physician · Flagstaff, AZ
Provider details
- NPI number
- 1174844138
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 6862 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
107 E Oak Ave
Flagstaff, AZ 86001
Phone: (928) 779-7880
Approximate (ZIP-level) locationGet directions
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Additional practice locations (1)
- 1485 N Turquoise DrSuite 200Flagstaff, AZ 86001-1398Phone: (928) 774-7757Fax: (928) 774-7767
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.