Individual
THEODORE CLIFFORD NING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 INDIANA ST, SUITE 300, GOLDEN, CO 80401-5027
(303) 885-2550
Mailing address
33424 DEEP FOREST RD, EVERGREEN, CO 80439-9736
(303) 670-7171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
042.0012859
VT
208800000X
Urology Physician
16283
CO
208800000X
Urology Physician
Primary
DR.0016283
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162833
—
CO
05
—
1022867
—
VT
01
—
Y400137843
MEDICARE PTAN LINKED TO CVMC MPG
VT
Enumeration date
10/03/2006
Last updated
07/27/2021
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