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Individual

DR. TIMOTHY G CLOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3050 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1175
(719) 593-1799
(719) 265-3794
Mailing address
1390 KELLY JOHNSON BLVD, COLORADO SPRINGS, CO 80920-3908
(719) 593-1799
(719) 265-3794

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49946
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000196823
ANTHEM
IN
01
11989
PHP
IN
05
200279180
IN
05
2271518
OH
05
42872286
CO
05
4300613100
MI
Enumeration date
05/12/2006
Last updated
07/27/2016
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