Dr. Clark Fielding Alves, MD
Family Medicine in Las Cruces, NM. Individual provider (NPI-1).
NPI number1316434855
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1316434855
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clark Fielding Alves
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2018
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2022-1114 | NM | Yes |
| 207Q00000X | Family Medicine | DR.0066382 | CO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2450 S Telshor BlvdLas Cruces, NM 88011-5069
Phone 575-521-5370 · Fax 575-521-5376
Mailing address
2450 S Telshor BlvdLas Cruces, NM 88011-5069
Phone 575-521-5370 · Fax 575-521-5376
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