Dr. John P. Clark
Family Doctor Family Doctor - Adult Medicine
10240 Park Meadows Dr
Lone Tree
, Colorado 80124-5425
Dr. John P. Clark
Family Doctor Family Doctor - Adult Medicine
10240 Park Meadows Dr
Lone Tree
, Colorado 80124-5425
(303) 338-3382
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. John P. Clark
- 10350 E Dakota Ave
- Denver, CO
- Zip : 80247-1314
- Phone : (303) 338-3382
Second Address
- Dr. John P. Clark
- 10240 Park Meadows Dr
- Lone Tree, CO
- Zip : 80124-5425
- Phone : (303) 338-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0054601 | CO |
| N | 207Q00000X | Family Doctor | 01066245A | IN |
| N | 207Q00000X | Family Doctor | 44937 | MN |
| N | 207QA0505X | Family Doctor - Adult Medicine | 01066245A | IN |
National Provider Identifier
| NPI | 1033197983 |
|---|---|
| Provider Name | Dr. John P. Clark |
| First Address | Denver, CO 80247-1314 |
| Second Address | Lone Tree, CO 80124-5425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/01/2006 |
| Last Update Date | 29/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 025320 | KAISER COMMERCIAL NUMBER (01) | CO |
| 200962010 | (05) | IN |
| 96125268 | (05) | CO |
| G91873 | (02) | MN |
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.