Whalio Doctors

NPI 1114462280

Adam Merritt Clark, CP

Practitioner Perfusionist Raleigh, NC

Practice location

Address
5009 Boulder Creek Ln, Raleigh, NC 27613-6075
Phone
(919) 302-6255

Registered specialties

Perfusionist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 1000-00677 (NC)

Registry record

NPI
1114462280
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Dec 2016
Record last updated
28 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.