Individual
CORNELL M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-5199
(702) 258-6152
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
(702) 804-3788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6460
NV
207Q00000X
Family Medicine Physician
G84970
CA
Other
Enumeration date
08/18/2006
Last updated
03/07/2023
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