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Ethan Clark

NPI 1821929324 · on the registry since 2026

Practice

Address
3724 Lakeside Dr Ste 200
Reno, NV 89509
Phone
(775) 895-0712
Clinicians at this address
5

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2026-05-26

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 Nevada