Male or Other

Mr. Adam M. Clark CP

Perfusionist in Raleigh, NC(View on Map)

Full Name

Mr. Adam Merritt Clark CP

NPI Number

1114462280

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/28/2016

Specialties

(Taxonomies)

Code

242T00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

1000-00677

Contact
Information

Purpose

Mailing
Location

Address

5009 BOULDER CREEK LN
5009 BOULDER CREEK LN

City

Raleigh
Raleigh

State

NC
NC

Postal Code

27613-6075
27613-6075

Country

US
US

Telephone Number

(919) 302-6255
(919) 302-6255

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/28/2016

Provider Address