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NPI Code Detail

MEDICARE: DR. EMILY SUE CLOWARD DO

MEDICARE:  DR. EMILY SUE CLOWARD  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTL.0009237CO

General Provider Information

NPI Number : 1588293013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY SUE CLOWARD DO
Provider Business Mailing Address
First Line : 2698 PATTERSON RD STE 100
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8211
Country : US
Telephone Number : 970-298-2800
Fax Number :
Provider Business Practice Location Address
First Line : 2698 PATTERSON RD STE 100
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8211
Country : US
Telephone Number : 970-298-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/16/2022

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Directions to “ DR. EMILY SUE CLOWARD DO” Practice Location

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