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JEFFERY R CLARK MD NPI 1043259211


NPI Information

NPI: 1043259211
Provider Name: JEFFERY R CLARK, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
2005 FRANKLIN ST
MIDTOWN 2 #300
DENVER, CO
ZIP 80205
Phone: (303) 318-2250
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Jeffery R Clark, MD is a surgery in Denver, CO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jeffery R Clark, MD NPI is 1043259211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2005 FRANKLIN ST
MIDTOWN 2 #300
DENVER, CO
ZIP 80205-401
Phone: (303) 318-2250
Fax: (303) 318-2252

The enumeration date for this NPI number is 6/5/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery20130COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101201300MEDICAIDCOLORADO
2484698MEDICARE ID-TYPE UNSPECIFIED
3F44362MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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