Individual
CHAD MICHAEL CLARK
Active
Individual
CHAD MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25106
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1377R
BLUE CROSS BLUE SHIELD
—
01
—
3616084
AETNA HMO
—
01
—
560988142
UNITED HEALTHCARE
—
01
—
7095608
AETNA PPO
—
01
—
804966
PARTNERS
—
05
—
891377R
—
NC
01
—
D4989
MEDCOST
—
05
—
N0019C
—
SC
01
—
P00183056
RAILROAD MEDICARE
—
Enumeration date
12/06/2005
Last updated
04/14/2025
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