Individual
DR. CAMERON LEVI CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1266 ESCALANTE DRIVE SUITE 301, DURANGO, CO 81301-4517
(970) 828-2200
Mailing address
1266 ESCALANTE DRIVE SUITE 301, DURANGO, CO 81303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
T5850
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
DR.0070480
CO
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD2023-0361
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2018
Last updated
06/26/2023
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