Individual
MARCUS OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8246 W BOWLES AVE, UNIT R, LITTLETON, CO 80123-3097
(303) 933-2006
Mailing address
8246 W BOWLES AVE, UNIT R, LITTLETON, CO 80123-3097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0007763
CO
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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