Provider Demographics
NPI:1679927065
Name:CLOUD MEDICAL LLC
Entity type:Organization
Organization Name:CLOUD MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TUSEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-254-4522
Mailing Address - Street 1:2017 100 YEARPARTY CT
Mailing Address - Street 2:UNIT 1
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8475
Mailing Address - Country:US
Mailing Address - Phone:303-848-3800
Mailing Address - Fax:
Practice Address - Street 1:2017 100 YEARPARTY CT
Practice Address - Street 2:UNIT 1
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8475
Practice Address - Country:US
Practice Address - Phone:303-848-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty