Individual
DR. DAVID P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
776 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 667-3116
(970) 669-0159
Mailing address
776 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 667-3116
(970) 669-0159
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20721
CO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
20721
CO
Other
Enumeration date
05/30/2006
Last updated
09/01/2016
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