Individual
DR. MARCHYARN MAHATHANARUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11700 W 2ND PL STE 225, LAKEWOOD, CO 80228-1707
(303) 661-4100
(720) 321-8969
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
DR.0054219
CO
Other
Enumeration date
04/06/2009
Last updated
01/31/2024
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