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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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