Individual
DR. MELODY SUN MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 593-1799
(719) 265-3794
Mailing address
1390 KELLY JOHNSON BLVD, COLORADO SPRINGS, CO 80920-3908
(719) 593-1799
(719) 265-3794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0063107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-063128
ILLINOIS STATE LICENSE
IL
05
—
9000179179
—
CO
Enumeration date
06/25/2013
Last updated
06/16/2021
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