Individual
MARK EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7924
(719) 526-7850
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2010007571
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669444352
—
MO
Enumeration date
02/06/2006
Last updated
11/18/2022
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