Individual provider · Type 1 NPI

Chantel C. Clark, MD

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1689427726 Active

Practice location

Msc 5040 1 University Of New Mexico
Albuquerque, NM 87131-0001

Call (505) 272-6607 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XRS2024-0051 (NM)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689427726

Chantel C. Clark, MD's National Provider Identifier is 1689427726, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 19, 2024.