Clark, Gary Bruce
Clark, Gary Bruce is an sole proprietor health care provider with primary practice located at 1790 30Th St Suite 230, Boulder CO 80301-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Clark, Gary Bruce can be contacted via phone (303) 444-5131.Contact Information
Primary practice address
1790 30Th St Suite 230
Boulder CO 80301-1022
Phone: (303) 444-5131
Fax: (303) 444-5131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20926 | Colorado |
Profile Details
| NPI number | 1902962939 |
|---|---|
| LBN Legal business name | Clark, Gary Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Eades, Michael Robert
6525 Gunpark Dr # 150-504 , Boulder CO 80301-3346 -
Urban, Jordan
703 Walnut St , Boulder CO 80302-5032 -
Steinberg, Richard
2939 10Th St , Boulder CO 80304-3019 -
Eades, Mary Dan
6525 Gunpark Dr # 150-504 , Boulder CO 80301-3346 -
Hale, Jamie
5365 Spine Rd Suite C, Boulder CO 80301-3324 -
Green, Stacy Robin
825 S Broadway St Ste 100 , Boulder CO 80305-5932 -
Eckstein, Larry
2760 29Th St Suite 2-D, Boulder CO 80301-1214 -
Richard, Zachary Joseph
5387 Manhattan Cir Ste 200 , Boulder CO 80303-4283