Individual
MARK A TWARDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
743 HORIZON CT, SUITE 100, GRAND JUNCTION, CO 81506-8701
(970) 241-7600
(970) 263-4831
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 241-7600
(970) 263-4831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31690
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316900
—
CO
01
—
31690
COLORADO BOARD ME
CO
Enumeration date
03/20/2006
Last updated
03/07/2023
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