Individual
MARISSA LIANA HUGHBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
835 E 18TH AVE, DENVER, CO 80218-1024
(303) 825-4646
Mailing address
835 E 18TH AVE # 80218, DENVER, CO 80218-1024
(303) 825-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0066473
CO
208M00000X
Hospitalist Physician
Primary
DR.0066473
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
07/06/2022
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