Thomas F Clarke, MD, MPH
Individual provider Active NPI Aerospace Medicine Physician · Kirtland Afb, NM
NPI 1093781981 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1093781981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Aerospace Medicine Physician 2083A0100X
- License
- MD042463 (DC)
- Practice address
- 377TH Medical Group 2050a
Kirtland Afb, NM 87117-5529 - Phone
- (202) 699-2496
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042463 | DC | MD | Aerospace Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | MD042463 | DC | Yes |
Addresses
Primary practice location
377TH Medical Group 2050a
Kirtland Afb, NM 87117-5529
Mailing address
377TH Medical Group 2050a
Kirtland Afb, NM 87117-5529
Other providers in Kirtland Afb, NM
- Todd Burbach
- Benjamin H Carter
- Michael Carvajal
- Brant Evin Casteel
- Rodney Vernon Chandler
- Carolynn Ann Claussen
- Brandon Clint
- James W Cockerill
- Sylvia Aracely Coon
- Marco Corda
All providers in Kirtland Afb, NM · Aerospace Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.