Individual
MARK NISHIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2373 G RD, SUITE 200, GRAND JUNCTION, CO 81505-9641
(970) 243-3061
(970) 245-8369
Mailing address
2373 G RD, SUITE 200, GRAND JUNCTION, CO 81505-9641
(970) 243-3061
(970) 245-8369
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
330113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330133
—
CO
Enumeration date
07/01/2006
Last updated
09/08/2025
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