Melissa L Clark
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):