Provider Demographics
NPI:1558529073
Name:CLOPTON, RACHEL GABRIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:GABRIELLE
Last Name:CLOPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:GABRIELLE
Other - Last Name:MESIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13123 E 16TH AVE
Mailing Address - Street 2:B090, DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-6224
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL COLORADO
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-6224
Practice Address - Fax:720-777-7266
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0052825207L00000X
NC142042208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC142042OtherNORTH CAROLINA MEDICAL BOARD PHYSICIAN CERTIFICATE OF REGISTRATION
CODR52825OtherDEPARTMENT OF REGULATORY AGENCIES, COLORADO