| Elizabeth Clark Pc | |
|
640 Grand Ave Grand Junction CO 81501-2738 | |
| (970) 241-1780 | |
| Not Available |
| Full Name | Elizabeth Clark Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 640 Grand Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Elizabeth L Clark (OWNER) |
| Authorized Official Contact | 9702414759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Clark Pc 640 Grand Ave Grand Junction CO 81501-2738 Ph: (970) 241-1780 | Elizabeth Clark Pc 640 Grand Ave Grand Junction CO 81501-2738 Ph: (970) 241-1780 |
| NPI Number | 1558838714 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558838714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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