Individual
DR. SAMUEL B CLINCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 E 1ST AVE STE 333, BROOMFIELD, CO 80020-2454
(720) 446-8675
(720) 798-6969
Mailing address
340 E 1ST AVE STE 333, BROOMFIELD, CO 80020-2454
(720) 446-8675
(720) 798-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0052292
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023458
KAISER COMMERCIAL NUMBER
CO
05
—
07426071
—
CO
Enumeration date
07/09/2009
Last updated
12/01/2021
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