MR. Tony Lee Clark, NP
NPI #1659869659 in Hatch, New Mexico
Provider Information
- NPI Number
- 1659869659
- Entity Type
- Individual
- Name
- MR. Tony Lee Clark, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Apr 25, 2018
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 610 RED HILLS ROAD
- City
- Hatch
- State
- New Mexico
- ZIP Code
- 87937
- Phone
- (575) 520-0292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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