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Individual

DR. MARK DAVID POIRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 524-7505
(719) 526-4903
Mailing address
1434 OAKMONT DR, COLORADO SPRINGS, CO 80921-3757
(719) 715-3801

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
60425
GA
207RN0300X
Nephrology Physician
DO188924
OR
207RN0300X
Nephrology Physician
Primary
DR.0060912
CO
207RN0300X
Nephrology Physician
O-1172
ID
207RN0300X
Nephrology Physician
Q6684
TX

Other

Enumeration date
01/15/2008
Last updated
03/07/2024
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