Individual
JEFFERY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15502 HILLTOP DR, BRIGHTON, CO 80601-4106
(303) 422-9438
(303) 422-9474
Mailing address
1600 PR CTR PKWY, BRIGHTON, CO 80601-4006
(303) 422-9438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2943
AK
207L00000X
Anesthesiology Physician
DR.0032419
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324193
—
CO
01
—
020257499
GROUPS ENERGY EMP#
AK
01
—
050082635
CLOUGHS RAILROAD MCR#
AK
01
—
193975000
GROUPS FED DOL#
AK
01
—
CI9459
GROUPS RAILROAD MCR#
AK
05
—
MD1730
—
AK
05
—
MDG417
—
AK
Enumeration date
05/12/2006
Last updated
11/30/2015
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