Individual
STEVEN DOUGLAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1998 MOTEL BLVD, LAS CRUCES, NM 88007
(575) 541-5941
(575) 541-5048
Mailing address
1998 MOTEL BLVD, LAS CRUCES, NM 88007
(575) 541-5941
(575) 541-5048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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