DEREK CLARK

ALBUQUERQUE, NM
NPI1497161590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: MD  C49914)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
Mr. DEREK CLARK BOCO C.ped
5111 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM 87111
Phone number: 505-200-9004
Mailing Address
Mr. DEREK CLARK BOCO C.ped
5111 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM 87111
Phone number: 505-200-9004