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NPI Code Detail

MEDICARE: CLARK C KULIG MD

MEDICARE: CLARK C KULIG MD
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
1207RG0100XGastroenterology PhysicianDR.39951CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669423430
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARK C KULIG MD
Provider Business Mailing Address
First Line : 2535 S DOWNING ST STE 380
Second Line :
City : DENVER
State : CO
Zip : 80210-5850
Country : US
Telephone Number : 303-778-5797
Fax Number : 303-778-5205
Provider Business Practice Location Address
First Line : 2535 S DOWNING ST STE 380
Second Line :
City : DENVER
State : CO
Zip : 80210-5850
Country : US
Telephone Number : 303-778-5797
Fax Number : 303-778-5205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 02/05/2025

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Directions to “ CLARK C KULIG MD” Practice Location

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