Individual
MARC ANDREW HOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5000
(303) 306-7753
Mailing address
PO BOX 1175, ENGLEWOOD, CO 80150-1175
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001694
CO
363AM0700X
Medical Physician Assistant
1694
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74358081
—
CO
Enumeration date
05/10/2006
Last updated
06/26/2020
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