Clark, Matthew Alexander

Clark, Matthew Alexander is an individual health care provider with primary practice located at Ute Mountain Ute Health Center Complex B Rustling Willow Street, Towaoc CO 81334-0049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Clark, Matthew Alexander can be contacted via phone (970) 565-4441.

Contact Information

Primary practice address
Ute Mountain Ute Health Center Complex B Rustling Willow Street Towaoc CO 81334-0049
Phone: (970) 565-4441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39323 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39323 Colorado

Profile Details

NPI number 1215993308
LBN Legal business name Clark, Matthew Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 5th, 2009 - about 17 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 1215993308 NPPES
Colorado MEDICAID 24857751

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