Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SANTAGO CLARK
Active Sole ProprietorMR. SANTAGO CLARK is a Driver healthcare provider located in ADDIS, Louisiana. NPI 1598231011 is currently active in the NPPES registry. Verify at CMS.
Driver · ADDIS, LA
Registration Details
- NPI Number
- 1598231011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2018 (7.8178732481304 yrs)
- Last Updated
- Oct 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
4607 TRIAL DR.ADDIS, LA, 70710Browse LA providers · Browse ZIP 70710
- Phone
- 2259076659
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.