Christopher Lee Clark, IDMT

NPI #1497983332 in Nellis Afb, Nevada

Provider Information

NPI Number
1497983332
Entity Type
Individual
Name
Christopher Lee Clark, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 30, 2009
Last Updated
Jun 30, 2009

Practice Location

Address
5179 MALMSTROM AVE
State
Nevada
ZIP Code
89191-6126
Phone
(702) 652-1542

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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