Search › New Mexico › 222Z00000X
Derek Clark, BOCO C.PED
NPI 1497161590 · on the registry since 2014
Practice
- Address
- 5111 Juan Tabo Blvd Ne
Ste A
Albuquerque, NM 87111 - Phone
- (505) 200-9004
- Fax
- (505) 271-0217
- Organisation at this address
- New Mexico Foot & Ankle Centers Pc
Functional Orthotics & Prosthetics
New Mexico Foot And Ankle Centers Llc
Foot & Ankle Specialists Of New Mexico PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 222Z00000X
222Z00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico