Individual
MARY S NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5855 E STAPLETON DR N, SUITE #A-130, DENVER, CO 80216-3318
(303) 371-7444
(303) 371-7364
Mailing address
5855 E STAPLETON DR N, SUITE #A-130, DENVER, CO 80216-3318
(303) 371-7444
(303) 371-7364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27508
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275080
—
CO
01
—
A005
TRICARE
NM
Enumeration date
05/24/2006
Last updated
08/03/2012
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