Clark Mantooth
Clark Mantooth is a Student in an Organized Health Care Education/Training Program in Nellis AFB, Nevada. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
4700 Las Vegas Blvd NNellis AFB, NV 89191-6601
Phone: (702) 653-2273
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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 102209624 (VA) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
Record details
| NPI number | 1710737770 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 5, 2026 |
| Certification date | March 5, 2026 |
| Mailing address | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6601 |
Other providers in Nellis AFB
-
Maria Christina Leising, MD
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6601 · (702) 653-2273
-
Hannah Lesyk, BSN, RN
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2273
-
Alissa Leyman
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2273
-
Carl Eugene Lobato, MD
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-3550
-
Lyndsey Nova Matus
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2273
-
Mark Mulder, MD
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2105
-
Dr. Sarah Rose Nestler, MD
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2273
-
Evangelina Olivera, DO
4700 Las Vegas Blvd N, Nellis AFB, NV 89191-6600 · (702) 653-2273