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Roger Clark, ATC, PHD
NPI 1225458136 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2200 Bonforte Blvd
Pueblo, CO 81001 - Phone
- (719) 549-2530
- Fax
- (719) 549-2549
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado