Individual
TAMARA SUE CLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6801 W 20TH ST, SUITE 101, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Mailing address
6801 W 20TH ST, SUITE 101, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01370410
—
CO
Enumeration date
02/22/2006
Last updated
03/18/2020
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