Individual
DR. CLARK E HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 LANG AVENUE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVENUE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
81-219
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8441
—
NM
Enumeration date
05/23/2005
Last updated
09/11/2012
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