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Contact Information

STEVEN D CLARK, PA-C
1998 MOTEL BLVD
LAS CRUCES, NM88007
 Phone: 575-541-5941
 Fax: 575-541-5048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEVEN D CLARK · (Male)

NPI # 1881252658
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/05/2019
Last updated 06/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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