Organization
CO FIDELIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M DORNER (COO)
(877) 408-2488
Entity
Organization
Contact information
Practice address
4600 S SYRACUSE ST, 9TH FLOOR, DENVER, CO 80237-2750
(303) 223-4949
(866) 776-6641
Mailing address
4600 S SYRACUSE ST, 9TH FLOOR, DENVER, CO 80237-2750
(303) 223-4949
(866) 776-6641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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