Dumont F. Clark M.D.

NPI 1093709412 - Internal Medicine - 207RS0012X

NPI Details
NPI 1093709412
Gender Male
Enumeration Date 08/31/2005
Last Updated 10/18/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1925 E ORMAN AVE
SUITE 254
PUEBLO CO, 81004-3537, US
Phone (719) 564-1542
Fax (719) 566-0916
Business Location
452 S HAHNS PEAK AVE
PUEBLO WEST CO, 81007-6031, US
Phone (719) 547-7662
Fax (719) 566-0916
Toxanomy
Taxonomy Code 207RS0012X
License State Colorado
License Number 19963
Remove 1093709412 NPI Number
 

According to our database, Dumont F. Clark M.D. NPI is 1093709412, taxonomy code is 207RS0012X and license number is 19963, license state is located at Colorado. Dumont F. Clark M.D. physically located at 1925 E Orman Ave, Pueblo CO, 81004-3537. NPI Number Dumont F. Clark M.D. has the Individual type.

Sponsored links

1093709412 NPI number is provided on an as is basis without warranty of any kind. 1093709412 is maintained by the National Plan & Provider Enumeration System. The contents of Dumont F. Clark M.D. are for informational purposes only.