Clark, Dumont F.

Clark, Dumont F. is an individual health care provider with primary practice located at 1925 E Orman Ave Suite 254, Pueblo CO 81004-3537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Clark, Dumont F. can be contacted via phone (719) 564-1542.

Contact Information

Primary practice address
1925 E Orman Ave Suite 254 Pueblo CO 81004-3537
Phone: (719) 564-1542
Fax: (719) 566-0916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19963 Colorado
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 19963 Colorado

Profile Details

NPI number 1093709412
LBN Legal business name Clark, Dumont F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093709412 NPPES
Colorado MEDICAID 01199637

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