DR. Matthew Alexander Clark, M.D.

NPI #1215993308 in Towaoc, Colorado

Provider Information

NPI Number: 1215993308
Entity Type: Individual
Name: DR. Matthew Alexander Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 26, 2006
Last Updated: Oct 5, 2009

Practice Location

Address: UTE MOUNTAIN UTE HEALTH CENTER
Address 2: COMPLEX B RUSTLING WILLOW STREET
City: Towaoc
State: Colorado
ZIP Code: 81334-0049
Phone: (970) 565-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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