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Dr. Richard Travis Clark, MD
Diagnostic Radiology Physician in Albuquerque, New Mexico
NPI 1568432557

Richard Travis Clark is a Diagnostic Radiology Physician based in Lynnwood, NM and is specialized in Diagnostic Radiology. Richard Travis Clark practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Richard Travis Clark is 1568432557 and holds a License No. MD60212011 (New Mexico).

The current practice location address for Richard Travis Clark is 2211 Lomas Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-272-1476.

Location: 2211 Lomas Blvd Ne, Albuquerque, NM, 98036-4748
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Provider Profile Details
NPI Number
1568432557
Provider Name
Richard Travis Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2211 Lomas Blvd Ne, Albuquerque, NM, 98036-4748
Phone Number
505-272-1476
Fax Number
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0365600 01 WA L&I EVERGREEN RADIA
0293210 01 WA L&I
1568432557 05 WA
0365598 01 WA L&I RADIA-KING COUNTY
0365595 01 WA L&I RADIA-REST OF WA
2017034 05 WA
0365599 01 WA L&I SWEDISH RADIA EDMONDS
158600 01 WA PTAN
institution
Provider Business Practice Location Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-1476
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-1476
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD60212011 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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