NPI 1366447740 · live from the CMS NPI Registry
Scott Clark, MD
Dermatology in Longmont, CO. National Provider Identifier 1366447740, active.
NPI record
| NPI | 1366447740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1925 W Mountain View Ave, Longmont, CO 80501 |
| Practice phone | 303-776-1234 |
| Enumerated | June 14, 2005 |
| Last updated | March 10, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 25764 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.