Individual
MR. JOHN EDWARD MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3330 S BROADWAY, UNIT 566, ENGLEWOOD, CO 80151-3301
(303) 668-5231
(720) 920-9791
Mailing address
PO BOX 566, ENGLEWOOD, CO 80151-0566
(303) 668-5231
(720) 920-9791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1594
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79688829
—
CO
Enumeration date
02/20/2007
Last updated
02/12/2016
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