Individual
CLARK WILLIAM WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 230, LONE TREE, CO 80124-5531
(303) 706-1616
(303) 706-0177
Mailing address
10099 RIDGEGATE PKWY, SUITE 230, LONE TREE, CO 80124-5531
(303) 706-1616
(303) 706-0177
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
43076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00172766
—
CO
Enumeration date
10/13/2006
Last updated
07/08/2007
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