Individual
DR. CHARLES FRANCIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 467-4000
(303) 467-4064
Mailing address
3518 KIRKWOOD PL, BOULDER, CO 80304-1938
(303) 442-6536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14939
CO
2084P0802X
Addiction Psychiatry Physician
14939
CO
2084P0805X
Geriatric Psychiatry Physician
14939
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01149392
—
CO
Enumeration date
09/14/2006
Last updated
05/11/2009
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