Individual
SAMANTHA KELLEY MAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7887 E BELLEVIEW AVE STE 1100, ENGLEWOOD, CO 80111-6097
(720) 283-6700
Mailing address
7887 E BELLEVIEW AVE STE 1100, ENGLEWOOD, CO 80111-6097
(720) 283-6700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0052286
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0052286
CO
Other
Enumeration date
05/26/2009
Last updated
10/19/2018
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