Dr. Edwin Allen Clark is a Little Rock, Arkansas based podiatrist who is specialized in Podiatry. Active license number of Dr. Edwin Allen Clark for Podiatry is 89 in Arkansas.
Dr. Edwin Allen Clark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Edwin Allen Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Gender: | Male |
| Practice Address: | 1501 Aldersgate Rd, Little Rock,
Arkansas, 72205-6611 |
| Phone: | 501-224-1501 |
| Fax: | 501-376-7065 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1346213626 |
| NPI Enumeration Date: | 08 Feb, 2006 |
| NPI Last Update On: | 07 Jul, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edwin Allen Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 89 | Podiatry | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edwin Allen Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 480017088 | Other | | RR MEDICARE |
| 56081 | Other | Arkansas | FIRST SOURCE PPO |
| 56081 | Other | Arkansas | BLUE CROSS SHIELD |
| 56081 | Other | Arkansas | BCBS FEP |
| 56081 | Other | Arkansas | BLUE ADVANTAGE |
| 109956017 | Medicaid | Arkansas | |
| 56081 | Other | Arkansas | HEALTH ADVANTAGE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1501 Aldersgate Rd,
Little Rock, Arkansas |
| Zip: | 72205-6611 |
| Phone Number: | 501-224-1501 |
| Fax Number: | 501-376-7065 |
Patients can reach Dr. Edwin Allen Clark at
1501 Aldersgate Rd, Little Rock, Arkansas or can
call to book an appointment on 501-224-1501.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.