Individual
DR. MARK A EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0056393
CO
2085R0001X
Radiation Oncology Physician
BP10040627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027019
KAISER COMMERCIAL NUMBER
CO
05
—
79125042
—
CO
Enumeration date
05/23/2011
Last updated
06/04/2021
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