Provider Demographics
NPI:1801037726
Name:CLARKE, ELIZABETH SUZANNE (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SUZANNE
Last Name:CLARKE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:301 W 6TH AVE # MC3251
Mailing Address - Street 2:WELLINGTON E WEBB CENTER FOR PRIMARY CARE
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-5182
Mailing Address - Country:US
Mailing Address - Phone:303-602-8070
Mailing Address - Fax:303-602-8076
Practice Address - Street 1:301 W 6TH AVE # MC3251
Practice Address - Street 2:WELLINGTON E WEBB CENTER FOR PRIMARY CARE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-5182
Practice Address - Country:US
Practice Address - Phone:303-602-8070
Practice Address - Fax:303-602-8076
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2021-03-25
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CO0051564207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program