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Clarence Threatt

NPI 1902710858 · on the registry since 2026

Practice

Address
15500 E 40th Ave
Denver, CO 80239
Phone
(719) 220-1839
Clinicians at this address
5

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-29

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