Individual
DR. MARK A DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36688
KS
2085R0202X
Diagnostic Radiology Physician
Primary
23198
CO
2085R0202X
Diagnostic Radiology Physician
25104
NE
2085R0202X
Diagnostic Radiology Physician
MD17507
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01231984
—
CO
05
—
0224905
—
WA
05
—
10025709000
—
NE
05
—
104699390
—
MI
05
—
1649256561
—
CA
05
—
1649256561
—
IA
05
—
1649256561
—
MO
05
—
1649256561
—
MT
05
—
1649256561
—
WY
05
—
200067205
—
MO
05
—
200364600
—
IN
05
—
200425880A
—
KS
05
—
200638130A
—
OK
05
—
208221601
—
TX
05
—
2301381
—
LA
05
—
23727055
—
NM
05
—
42866602
—
AZ
05
—
64048556
—
KY
05
—
84-059792913
—
NE
Enumeration date
12/22/2005
Last updated
12/14/2022
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