Dr. Richard Todd Clark, M.D.
Emergency Medicine in Aurora, CO. Individual provider (NPI-1).
NPI number1245596147
StatusActive
Last updated in NPPESJun 5, 2019
Details
- NPI
- 1245596147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Todd Clark
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2012
- Last updated
- Jun 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD176848 | OR | Yes |
Practice location
12605 E 16th AveAurora, CO 80045-2545
Phone 720-848-0000 · Fax 303-493-7202
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000 · Fax 303-493-7200
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