Rozella Rebecca Clark
Rozella Rebecca Clark is a Physician Assistant in Fort Collins, Colorado. Licensed in Colorado, Georgia and Nevada. Registered with an NPI since 2007.
- Licensed in
- CO, GA, NV
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
1024 S Lemay AveFort Collins, CO 80524-3929
Phone: (970) 495-7000
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA.0004163 (CO) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 5221 (GA) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA1380 (NV) |
Record details
| NPI number | 1790829224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 17, 2007 |
| Last updated in NPPES | November 19, 2015 |
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