Individual
MARK DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15204 W 73RD AVE, ARVADA, CO 80007-7858
(720) 808-6808
Mailing address
15204 W 73RD AVE, ARVADA, CO 80007-7858
(720) 808-6808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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