Individual
CURTIS CARL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 S 8TH AVE, SUITE 103, STERLING, CO 80751-4563
(970) 522-3304
(970) 522-4615
Mailing address
1530 WESTVIEW DR, STERLING, CO 80751-4443
(970) 522-1223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01193762
—
CO
Enumeration date
06/07/2006
Last updated
09/05/2012
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