Derek Clark, BOCO C.PED

Individual Active
NPI 1497161590
Orthotist Albuquerque, NM

Derek Clark, BOCO C.PED holds NPI 1497161590, with a primary taxonomy of orthotist and a practice location in Albuquerque, NM. The number was issued on July 9, 2014 and the NPPES record was last updated on July 9, 2014.

This record hasn't been updated in NPPES since 2014. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X C49914 (MD)

Practice location

5111 Juan Tabo Blvd NE
Ste A
Albuquerque, NM 87111
Phone: (505) 200-9004

Local context

Active NPPES records list 1 provider with orthotist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 3 in New Mexico and 1,337 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Derek Clark
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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