NPI 1366447740

Scott Clark, MD

Practitioner Dermatology Physician Longmont, CO

Practice location

Address: 1925 W Mountain View Ave, Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 25764 (CO)

Other Dermatology providers in Colorado →

Registry record

NPI: 1366447740
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2005
Record last updated: 10 Mar 2015

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.