Organization
DENVER OCCUPATIONAL & AVIATION MED. CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE J. KLUCK M.D. (OWNER)
(303) 373-4456
Entity
Organization
Contact information
Practice address
3700 HAVANA ST, SUITE 200, DENVER, CO 80239-3240
(303) 373-4456
(303) 373-4501
Mailing address
3464 S WILLOW ST, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C49821
—
CO
01
—
KW63304
BLUESHIELD
CO
Enumeration date
09/09/2005
Last updated
08/22/2020
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