Individual
THOMAS K CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5000
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 783-4908
(720) 439-9500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27683
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069053
RAILROAD MEDICARE NUMBER
CO
05
—
91276832
—
CO
Enumeration date
07/29/2005
Last updated
07/19/2018
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