Individual
DR. MARCIA ELAINE EUSTAQUIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25054
OK
207Y00000X
Otolaryngology Physician
Primary
51102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029038
KAISER COMMERCIAL NUMBER
CO
05
—
72905816
—
CO
Enumeration date
02/05/2007
Last updated
07/07/2021
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