Organization
COLORADO PROVIDER NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARQUEZ PA-C (CEO)
(720) 320-3218
Entity
Organization
Contact information
Practice address
1435 GARRISON ST STE 110, LAKEWOOD, CO 80215-4748
(720) 241-3765
Mailing address
PO BOX 12375, DENVER, CO 80212-0375
(303) 668-5231
(720) 358-5897
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
06/23/2023
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