Whalio Doctors

NPI 1295922052

Jill Elisabeth Clark, MD

Practitioner Colon & Rectal Surgery Physician Albuquerque, NM

Practice location

Address
715 Dr Martin Luther King Jr Ave NE STE 301, Albuquerque, NM 87102-3668
Phone
(505) 727-7090

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 61161110 (WA)

Registry record

NPI
1295922052
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2007
Record last updated
27 Jun 2025

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.