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Melissa L Clark

  • Female

Medical Specialty

Professional ID

  • NPI: 1902336753
  • PECOS ID: 1456637826
  • Enrollment ID: I20170419001929
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2015

Hospital Service

  • Hospital CCN1: 470005
  • Business Name (LBN)1: Rutland Regional Medical Center

Medical Practices

  • Organization Name: Rutland Hospital, Inc
  • Group Practice ID assigned by PECOS: 7214846377
  • Number of Group Practice member: 123

Location

  • Address1: 69 Allen St
  • Address2:
  • City: Rutland
  • State: Vermont
  • Zip Code: 05701
  • Phone Number: (802)775-7111

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):