Clark, Timothy M

Clark, Timothy M is an individual health care provider with primary practice located at 4820 Riverbend Rd Ste 100 , Boulder CO 80301-2618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Clark, Timothy M can be contacted via phone (303) 415-5399.

Contact Information

Primary practice address
4820 Riverbend Rd Ste 100 Boulder CO 80301-2618
Phone: (303) 415-5399
Fax: (303) 297-5808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 38716 Colorado
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 38716 Colorado

Profile Details

NPI number 1043265663
LBN Legal business name Clark, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 10th, 2019 - about 5 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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