Provider Demographics
NPI:1700013380
Name:CLAWSON, CURTIS E (IDMT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:E
Last Name:CLAWSON
Suffix:
Gender:M
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NORAD RD
Mailing Address - Street 2:SUITE 1205
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906
Mailing Address - Country:US
Mailing Address - Phone:716-474-3862
Mailing Address - Fax:719-474-2629
Practice Address - Street 1:1 NORAD RD
Practice Address - Street 2:SUITE 1205
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:716-474-3862
Practice Address - Fax:719-474-2629
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians