Clark, Mark

Clark, Mark is an individual health care provider with primary practice located at 2300 Coronado Rd , Pueblo CO 81003-1840. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Clark, Mark can be contacted via phone (719) 859-1901.

Contact Information

Primary practice address
2300 Coronado Rd Pueblo CO 81003-1840
Phone: (719) 859-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 502 Colorado

Profile Details

NPI number 1912324351
LBN Legal business name Clark, Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Mar 24th, 2014 - about 10 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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