Individual
MARCO ANTONIO ANTILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4725 HIGH ST, DENVER, CO 80216-2220
(720) 274-2931
(303) 583-0152
Mailing address
4725 HIGH ST, DENVER, CO 80216-2220
(720) 274-2931
(303) 583-0152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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