Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chantel C Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689427726

Chantel C Clark, MD is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2024.

Licensed in
NM
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Msc 5040 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-6607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RS2024-0051 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1689427726
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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