Individual
ROBERT CARL CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1634 DOWNING ST, DENVER, CO 80218-1529
(303) 504-1800
(303) 894-8107
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6509
(303) 782-0916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28904
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289040
—
CO
Enumeration date
07/28/2005
Last updated
07/08/2007
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