Gina Clark
NPI #1225843766 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1225843766
- Entity Type
- Individual
- Name
- Gina Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 11, 2025
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4613
- Phone
- (719) 524-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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