Timothy M Clark
Pulmonary Disease Critical Care Medicine
4820 Riverbend Rd Ste 100
Boulder
, Colorado 80301-2618
Timothy M Clark
Pulmonary Disease Critical Care Medicine
4820 Riverbend Rd Ste 100
Boulder
, Colorado 80301-2618
(303) 297-5808
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Timothy M Clark
- 5450 Western Ave
- Boulder, CO
- Zip : 80301-2709
- Fax : (303) 297-5808
- Phone : (303) 415-5399
Second Address
- Timothy M Clark
- 4820 Riverbend Rd Ste 100
- Boulder, CO
- Zip : 80301-2618
- Fax : (303) 297-5808
- Phone : (303) 415-5399
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FAQs
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What type of doctor is Timothy M Clark
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Is Timothy M Clark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 38716 | CO |
| Y | 207RP1001X | Pulmonary Disease | 38716 | CO |
National Provider Identifier
| NPI | 1043265663 |
|---|---|
| Provider Name | Timothy M Clark |
| First Address | Boulder, CO 80301-2709 |
| Second Address | Boulder, CO 80301-2618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 10/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H16867 | (02) |
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.