Individual
AMANDA DIANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 230, LONE TREE, CO 80124-5531
(303) 706-1616
(303) 706-0151
Mailing address
4053 S KIRK WAY, AURORA, CO 80013-6029
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000698
CO
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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