Clark Mantooth
NPI #1710737770 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1710737770
- Entity Type
- Individual
- Name
- Clark Mantooth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Mar 25, 2024
- Last Updated
- May 1, 2025
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6601
- Phone
- (702) 653-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Military Health Care Provider |
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