Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY BRUCE CLARK, MD
Active Sole ProprietorDR. GARY BRUCE CLARK, MD is a General Practice healthcare provider located in BOULDER, Colorado. NPI 1902962939 is currently active in the NPPES registry. Verify at CMS.
General Practice · BOULDER, CO
Registration Details
- NPI Number
- 1902962939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.612022640892 yrs)
- Last Updated
- Jul 8, 2007
- License
-
20926 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1790 30TH STSUITE 230BOULDER, CO, 803011022Browse CO providers · Browse ZIP 80301
- Phone
- 3034445131
- Fax
- 3034445131
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| DAVID WAYNE LINK | M.D. MPH | 1558389221 |
| LARRY ECKSTEIN | MD | 1821000704 |
| DR. TERESA REBIBO FOX | MD | 1871735381 |
| DR. RICHARD STEINBERG | MD | 1376872259 |
| DR. STACY ROBIN GREEN | M.D. | 1558686162 |
| MARY DAN EADES | MD | 1164790994 |
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.