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1114920238
DOUGLAS A. CLARK
ALBUQUERQUE, NM
NPI
1114920238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NM 86-199)
Enumeration Date
2005-05-23
Last Update Date
2017-01-17
Business Address
-- DOUGLAS A. CLARK MD
4901 LANG AVE NE
ALBUQUERQUE, NM 87109-4397
Phone number: 505-842-8171
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Mailing Address
-- DOUGLAS A. CLARK MD
4901 LANG AVE NE
ALBUQUERQUE, NM 87109-4397
Phone number: 505-842-8171
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