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Individual

SALLIE BROOKS CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1421 S POTOMAC ST STE 220, AURORA, CO 80012
(303) 337-5600
(303) 337-7734
Mailing address
1421 S POTOMAC ST STE 220, AURORA, CO 80012-4512
(303) 337-5600
(303) 337-7734

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29564
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01295641
CO
Enumeration date
07/01/2005
Last updated
06/06/2018
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