Organization
SOUTH DENVER NEPHROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A DILLINGHAM M.D (PRESIDENT/PARTNER)
(303) 891-0977
Entity
Organization
Contact information
Practice address
950 E HARVARD AVE, SUITE 240, DENVER, CO 80210-7006
(303) 871-0977
(303) 733-2387
Mailing address
950 E HARVARD AVE, SUITE 240, DENVER, CO 80210-7006
(303) 871-0977
(303) 733-2387
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23200
CO
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015087
—
CO
Enumeration date
07/09/2006
Last updated
12/11/2013
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