Individual
DR. DON R. CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(505) 623-3420
(505) 622-2820
Mailing address
313 W COUNTRY CLUB RD, SUITE # 8, ROSWELL, NM 88201-5804
(505) 623-3420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59-8
NM
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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