Individual
DOUGLAS P CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 TUTT BLVD, SUITE 200, COLORADO SPRINGS, CO 80922-3575
(719) 380-6800
(719) 380-6815
Mailing address
6140 TUTT BLVD, SUITE 200, COLORADO SPRINGS, CO 80922-3575
(719) 380-6800
(719) 380-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25050
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
025050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01250505
—
CO
Enumeration date
05/16/2006
Last updated
09/11/2025
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