Individual
SAMUEL CLARK BERNGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4820 RIVERBEND RD STE 100, BOULDER, CO 80301-2618
(303) 415-5399
(303) 297-5808
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-5399
(303) 297-5808
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DR.0053721
CO
Other
Enumeration date
03/29/2012
Last updated
05/10/2019
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