Individual
CHERYL ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6675
(303) 782-0916
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6675
(303) 782-0916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270735
—
CO
Enumeration date
07/29/2005
Last updated
02/01/2011
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