Individual
DR. MARK ROBERT SANAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29147
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31670237
—
CO
Enumeration date
07/01/2005
Last updated
11/19/2015
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