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Individual

MARK B DEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1080 S SABLE BLVD, AURORA, CO 80012-3796
(303) 552-9577
(415) 252-7176
Mailing address
265 TANGLEWOOD LN, STE E-1, SILVERTHORNE, CO 80498
(970) 468-1003
(970) 468-2196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-00330
NC
207Q00000X
Family Medicine Physician
Primary
DR.0059899
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5905080
NC
01
P00411124
RR MEDICARE
NC
Enumeration date
08/18/2006
Last updated
04/17/2025
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