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Individual

MARK CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2300 CORONADO RD, PUEBLO, CO 81003-1840
(719) 859-1901
Mailing address
2300 CORONADO RD, PUEBLO, CO 81003-1840
(719) 859-1901

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
502
CO

Other

Enumeration date
03/24/2014
Last updated
03/28/2025
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