Individual
DR. MARK P DE MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 743-5855
Mailing address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 369-0710
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
28546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004570
KAISER-COMMERCIAL NUMBER
—
05
—
01285469
—
CO
Enumeration date
02/16/2007
Last updated
06/08/2011
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