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Contact Information

TIMOTHY M CLARK, MD
4820 RIVERBEND RD STE 100
BOULDER, CO80301-2618
 Phone: 303-415-5399
 Fax: 303-297-5808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY M CLARK · (Male)

NPI # 1043265663
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 05/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 38716
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
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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