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Organization

MARC H TANENBAUM MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC H TANENBAUM MD (OWNER)
(303) 776-7300
Entity
Organization

Contact information

Practice address
1350 STUART ST, LONGMONT, CO 80501-3156
(303) 776-7300
(303) 776-7308
Mailing address
1350 STUART ST, LONGMONT, CO 80501-3156
(303) 776-7300
(303) 776-7308

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01184308
CO
Enumeration date
07/17/2007
Last updated
07/17/2007
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