Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK MANTOOTH
ActiveCLARK MANTOOTH is a Student (Health Education/Training) healthcare provider located in NELLIS AFB, Nevada. NPI 1710737770 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · NELLIS AFB, NV
Registration Details
- NPI Number
- 1710737770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.3456030426497 yrs)
- Last Updated
- Mar 5, 2026
- License
-
102209624 (VA)
Practice Information
- Address
-
4700 LAS VEGAS BLVD NNELLIS AFB, NV, 891916601Browse NV providers · Browse ZIP 89191
- Phone
- 7026532273
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Military Health Care Provider
Other Student (Health Education/Training) Providers in NELLIS AFB, NV
| Name | Credential | NPI |
|---|---|---|
| BRIAN SCOTT LOOMIS | PA-C | 1760996235 |
| JASON TURNER | — | 1295249027 |
| ALEXANDER WILLIAM BALOK | P.A. | 1598305401 |
| JORDAN ROSE | — | 1538768114 |
| MOLLY KATHERINE OLMOS | — | 1922686039 |
| VICTORIA CHRISTIANE KOEHLER | — | 1598413189 |
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.