SearchNew Mexico172A00000X

Jayson Clark

NPI 1992477871 · on the registry since 2021

Practice

Address
40 W Dickens Rd
Lovington, NM 88260
Phone
(575) 659-4874

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-29

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