Organization
CLARK L. JENNINGS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK L. JENNINGS M.D. (PRESIDENT)
(719) 475-8038
Entity
Organization
Contact information
Practice address
1414 N NEVADA AVE, COLORADO SPRINGS, CO 80907-7431
(719) 475-8038
(719) 475-0993
Mailing address
1414 N NEVADA AVE, COLORADO SPRINGS, CO 80907-7431
(719) 475-8038
(719) 475-0993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30385
CO
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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