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Individual

MARK ROBERT FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 RIVER GATE LANE, #209, DURANGO, CO 81301
(970) 259-0440
(970) 259-7091
Mailing address
575 RIVER GATE LANE, #209, DURANGO, CO 81301
(970) 259-0440
(970) 259-7091

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41391
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94430837
CO
Enumeration date
06/26/2006
Last updated
07/31/2008
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