Individual
MARIELLEN MCCLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 764-4899
Mailing address
10932 W EXPOSITION DR, LAKEWOOD, CO 80226-3820
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30020
CO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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