Individual
DR. CLARA RAQUEL EPSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FICS
Contact information
Practice address
401 MAIN ST, WESTCLIFFE, CO 81252-9468
(303) 800-9129
(720) 638-0497
Mailing address
2121 CORRAL N, COTOPAXI, CO 81223-8898
(303) 800-9129
(720) 638-0497
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
40083
CO
207T00000X
Neurological Surgery Physician
A76471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T061320120000590
MEDICARE, TRAILBLAZER HEALTH ENTERPRISES, LLC
CO
Enumeration date
05/02/2007
Last updated
12/29/2023
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