NPI 1164479416

David P Clark, MD

Practitioner MOHS-Micrographic Surgery Physician Loveland, CO

Practice location

Address: 776 W Eisenhower Blvd, Loveland, CO 80537-3157
Phone: (970) 667-3116
Fax: (970) 669-0159

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 20721 (CO)

Other Dermatology providers in Colorado →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 20721 (CO)

Registry record

NPI: 1164479416
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 1 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.