person
Dr. Gary Bruce Clark, MD
General Practice Physician in Boulder, Colorado
NPI 1902962939

Gary Bruce Clark is a General Practice Physician based in Broomfield, CO. Gary Bruce Clark practices in Boulder, CO and has the professional credentials of MD. The NPI Number for Gary Bruce Clark is 1902962939 and holds a License No. 20926 (Colorado).

The current practice location address for Gary Bruce Clark is 1790 30Th St, Boulder, CO and can be reached out via phone at 303-444-5131 and via fax at 303-444-5131.

Location: 1790 30Th St, Boulder, CO, 80020-5869
person
Provider Profile Details
NPI Number
1902962939
Provider Name
Gary Bruce Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1790 30Th St, Boulder, CO, 80020-5869
Phone Number
303-444-5131
Fax Number
303-444-5131
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1790 30Th St
City
State
Zip
80301-1022
Phone Number
303-444-5131
Fax Number
303-444-5131
person
Provider Business Mailing Address Details
Address
1790 30Th St
City
State
Zip
80301-1022
Phone Number
303-444-5131
Fax Number
303-444-5131
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20926 (Colorado)
Definition
Definition to come...
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