Bruce R Clark in Fort Collins - General Practice

Bruce R Clark - NPI 1043220684

Bruce R Clark is a General Practice in Fort Collins, Colorado. Bruce R Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce R Clark is 1043220684. The last update date is 2007-07-08.

Bruce R Clark's current location address is 2550 Stover St, Fort Collins, Colorado. You can contact this provider via phone number 9704988607 and fax number 9704988607. The mailing address for Bruce R Clark is 2550 Stover St, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce R Clark
Address 2550 Stover St, Fort Collins, Colorado
Phone Number 9704988607
Fax Number 9704988607
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1043220684
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2550 Stover St
City Fort Collins
State Colorado (CO)
Post Code 80525
Phone Number 9704988607
Fax Number 9704988607

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7028
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Bruce R Clark

What is the unique identifier code issued to Bruce R Clark by the Centers for Medicare & Medicaid Services (CMS)?

The Bruce R Clark has been assigned the NPI (National Provider Identifier) 1043220684. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Bruce R Clark is physically located?

The Bruce R Clark is physically situated at the following address: 2550 Stover St, Fort Collins, CO, 80525.

What is Bruce R Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bruce R Clark is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Bruce R Clark receive its 1043220684 assignment from the Centers for Medicare & Medicaid Services?

The Bruce R Clark was assigned its 1043220684 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Bruce R Clark most recently updated or refreshed?

The details pertaining to the Bruce R Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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