IndividualActive
Adam Clark
NPI 1447986914 · Medical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1447986914
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA2024-0071 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Approximate (ZIP-level) locationGet directions
Mailing address
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2025-07-13
- Certified
- 2025-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.