Individual
CLARK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
8051 DECATUR ST, WESTMINSTER, CO 80031-7216
(970) 409-2474
Mailing address
8051 DECATUR ST, WESTMINSTER, CO 80031-7216
(970) 409-2474
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
31698277-0000
CO
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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