Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. ROGER CLARK, ATC, PHD
Active Sole ProprietorPROF. ROGER CLARK, ATC, PHD is a Athletic Trainer healthcare provider located in PUEBLO, Colorado. NPI 1225458136 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PUEBLO, CO
Registration Details
- NPI Number
- 1225458136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2014 (12.285597686557 yrs)
- Last Updated
- Apr 17, 2014
- License
-
627 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 BONFORTE BLVDPUEBLO, CO, 810014901Browse CO providers · Browse ZIP 81001
- Phone
- 7195492530
- Fax
- 7195492549
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| BRANDI LYNN LOCKERMAN | ATC | 1235469693 |
| NICHOLAS ALEXANDER HORMAN | A.T.C | 1740551894 |
| COLLEEN CONROY | ATC | 1336412600 |
| BRITTANY HOOVER | — | 1346663226 |
| RANDI NICHOLE LININGER | MS, ATC | 1073926036 |
| BLAKE POLLEMA | ATC | 1669872594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.