DR. Scott Clark, MD

NPI #1366447740 in Longmont, Colorado

Provider Information

NPI Number: 1366447740
Entity Type: Individual
Name: DR. Scott Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 14, 2005
Last Updated: Mar 10, 2015

Practice Location

Address: 1925 W MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-3128
Phone: (303) 776-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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