Individual
DR. MARK BOGUNIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
30168
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301688
—
CO
Enumeration date
08/10/2006
Last updated
11/12/2020
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