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1609456961
SAMUEL CLAY FOUNTAIN
DENVER, CO
NPI
1609456961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0073041)
Enumeration Date
2021-04-12
Last Update Date
2024-05-28
Business Address
SAMUEL CLAY FOUNTAIN MD
8111 E LOWRY BLVD
DENVER, CO 80230-7255
Phone number: 720-848-0000
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Mailing Address
SAMUEL CLAY FOUNTAIN MD
PO BOX 110429
AURORA, CO 80042-0429
Phone number:
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