Organization
PAUL MACKELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MACKELL MD (PRESIDENT)
(303) 666-4606
Entity
Organization
Contact information
Practice address
588 US HIGHWAY 287 STE 204, LAFAYETTE, CO 80026-2615
(303) 666-4606
(303) 666-4610
Mailing address
588 US HIGHWAY 287 STE 204, LAFAYETTE, CO 80026-2615
(303) 666-4606
(303) 666-4610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253202
—
CO
Enumeration date
10/29/2007
Last updated
05/22/2008
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