Clifford D Clark in Fort Collins - Adult Reconstructive Orthopaedic Surgery

Clifford D Clark - NPI 1881612653

Clifford D Clark is a Adult Reconstructive Orthopaedic Surgery in Fort Collins, Colorado. Clifford D Clark practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Clifford D Clark is 1881612653. The last update date is 2019-12-16.

Clifford D Clark's current location address is 2500 E Prospect Rd, Fort Collins, Colorado. You can contact this provider via phone number 9704930112. The mailing address for Clifford D Clark is 2500 E Prospect Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifford D Clark
Address 2500 E Prospect Rd, Fort Collins, Colorado
Phone Number 9704930112
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1881612653
Provider Enumeration Date 2006-07-18
Last Updated Date 2019-12-16

Provider Mailing Address Detail

Address 2500 E Prospect Rd
City Fort Collins
State Colorado (CO)
Post Code 805259718
Phone Number 9704930112
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Reconstructive Orthopaedic Surgery
Taxonomy 207Xs0114X
Licence No DR.0047585
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00755984 CO RR MEDICARE
12688200 WY --
66729378 CO --

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FAQs about Clifford D Clark

What is the unique provider identifier assigned to Clifford D Clark?

The Clifford D Clark has been issued the NPI (National Provider Identifier) 1881612653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Clifford D Clark is located?

The Clifford D Clark is situated at the following address: 2500 E Prospect Rd, Fort Collins, CO, 805259718.

What is Clifford D Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Clifford D Clark is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Xs0114X.

When did Clifford D Clark receive its 1881612653 assignment?

The Clifford D Clark was assigned its 1881612653 on 2006-07-18, which is the date when this unique identifier was issued to the organization.

As of what date were the Clifford D Clark's details last updated?

The information pertaining to the Clifford D Clark, including its address, specialty, and other details, was most recently updated on 2019-12-16.

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