NPI 1407169048 · live from the CMS NPI Registry
Craig D. Clark, M.D., Professional Corp.
Orthopaedic Surgery in Henderson, NV. National Provider Identifier 1407169048, active.
NPI record
| NPI | 1407169048 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2405 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052 |
| Practice phone | 702-982-1300 |
| Mailing address | Po Box 530278, Henderson, NV 89053 |
| Enumerated | July 25, 2010 |
| Last updated | October 26, 2011 |
| Authorized official | Craig Clark, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.