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Individual

MARK SCOTT MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6509
(303) 782-0916

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27955
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01279553
CO
Enumeration date
07/28/2005
Last updated
01/06/2016
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