Organization
NORTHEAST COLORADO FAMILY MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS C CLARK M.D. (PRESIDENT)
(970) 522-3304
Entity
Organization
Contact information
Practice address
1405 S 8TH AVE, SUITE 103, STERLING, CO 80751-4563
(970) 522-3304
(970) 522-4615
Mailing address
1405 S 8TH AVE, SUITE 103, STERLING, CO 80751-4563
(970) 522-3304
(970) 522-4615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02-20011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04113049
—
CO
01
—
11304
BCBS
—
Enumeration date
06/04/2007
Last updated
03/31/2008
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