Individual
DR. MARY VIRGINIA MACENTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E 19TH AVE, DENVER, CO 80218-1216
(303) 839-7788
Mailing address
9309 E EVANS PL, DENVER, CO 80231-3433
(303) 873-6892
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
31931
CO
2080P0203X
Pediatric Critical Care Medicine Physician
58152
AZ
Other
Enumeration date
04/06/2006
Last updated
05/06/2025
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