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Individual

DAVID MARC NORTHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5140
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
37734
AL
208600000X
Surgery Physician
Primary
DR.0068175
CO

Other

Enumeration date
04/21/2010
Last updated
06/30/2023
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