# CO FIDELIS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538431945
- **Authorized official:** MARK M DORNER (COO)
- **Authorized official phone:** (877) 408-2488

## Contact information

- **Practice address:** 4600 S SYRACUSE ST, 9TH FLOOR, DENVER, CO 80237-2750
- **Practice address phone:** (303) 223-4949
- **Practice address fax:** (866) 776-6641
- **Mailing address:** 4600 S SYRACUSE ST, 9TH FLOOR, DENVER, CO 80237-2750
- **Mailing address phone:** (303) 223-4949
- **Mailing address fax:** (866) 776-6641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 01/31/2012