National Provider Identifier Database

CLARK ANDERSON, MD – NPI #1508816653
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

CLARK ANDERSON, MD
12605 E 16TH AVE
AURORA, CO80045-2545
Phone: 720-848-0000
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for CLARK ANDERSON

NPI Number 1508816653
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 11/17/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 30890
  • CO License #: DR.0030890
  • CO Medicaid: 01308907
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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