Individual
DR. TEDFORD CLIVE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1055 CLERMONT ST. 11B, DENVER, CO 80220-0809
(303) 393-2839
(303) 393-4677
Mailing address
1055 CLERMONT ST. 11B, DENVER, CO 80220-0809
(303) 393-2839
(303) 393-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20625
CO
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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