Individual provider · Type 1 NPI
Guy Max Clark, RN
Medical-Surgical Registered Nurse · Gallup, NM
NPI number
1356907083
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 897468 (TX) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1356907083
Guy Max Clark, RN's National Provider Identifier is 1356907083, issued on May 17, 2019. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Gallup, NM. The record was last updated on May 17, 2019.