Individual
CLAY BRYAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(352) 867-8898
(352) 732-6282
Mailing address
DEPT # 1029, DENVER, CO 80263-0001
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME31843
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6588
ANTHEM/BLUE CROSS
CO
Enumeration date
05/12/2006
Last updated
10/10/2007
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