Individual
MARK JOSEPH MCANINCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 11TH ST, PENROSE, CO 81240-9658
(719) 784-7470
Mailing address
1945 11TH ST, PENROSE, CO 81240-9658
(719) 784-7470
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
20955
CO
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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