Dr. Clark Ruzicka
Chiropractor Orthopedic Specialist
610 Front St Bx1420
Leadville
, Colorado 80461-1420
Dr. Clark Ruzicka
Chiropractor Orthopedic Specialist
610 Front St Bx1420
Leadville
, Colorado 80461-1420
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Clark Ruzicka
- Po Box 1420 610 Front St
- Leadville, CO
- Zip : 80461-1420
- Phone :
Second Address
- Dr. Clark Ruzicka
- 610 Front St Bx1420
- Leadville, CO
- Zip : 80461-1420
- Phone : (719) 486-1175
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Is Dr. Clark Ruzicka a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2677 | CO |
National Provider Identifier
| NPI | 1659578094 |
|---|---|
| Provider Name | Dr. Clark Ruzicka |
| First Address | Leadville, CO 80461-1420 |
| Second Address | Leadville, CO 80461-1420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.