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Beth E Clark, PA
Medical Physician Assistant in Aurora, Colorado
NPI 1194715672

Beth E Clark is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Beth E Clark practices in Aurora, CO and has the professional credentials of PA. The NPI Number for Beth E Clark is 1194715672 and holds a License No. 900 (Colorado).

The current practice location address for Beth E Clark is 2500 S Havana St, Aurora, CO and can be reached out via phone at 303-338-4545.

Location: 2500 S Havana St, Aurora, CO, 80247-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194715672
Provider Name
Beth E Clark
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2500 S Havana St, Aurora, CO, 80247-1314
Phone Number
303-338-4545
Fax Number
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07009004 05 CO
P00368635 01 CO RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2500 S Havana St
City
Aurora
State
Colorado
Zip
80014-1618
Phone Number
303-338-4545
Fax Number
person
Provider Business Mailing Address Details
Address
2500 S Havana St
City
Aurora
State
Colorado
Zip
80014-1618
Phone Number
303-338-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
900 (Colorado)
Definition
Definition to come...
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