Individual
MARK C. MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 245-1220
(970) 245-9148
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 245-1220
(970) 245-9148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22723
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227230
—
CO
Enumeration date
11/28/2005
Last updated
01/13/2014
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