IndividualActive
Jill Clark, M.D.
NPI 1295922052 · Colon & Rectal Surgery Physician · Albuquerque, NM
Provider details
- NPI number
- 1295922052
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 61161110 (WA)
Practice location
715 Dr Martin Luther King Jr Ave Ne Ste 301
Albuquerque, NM 87102-3668
Phone: (505) 727-7090
Mailing address
715 Dr Martin Luther King Jr Ave Ne Ste 301
Albuquerque, NM 87102-3668
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.