Individual
MARK H NATHANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1550 S POTOMAC ST, STE 370, AURORA, CO 80012-5455
(303) 369-1080
(303) 750-4913
Mailing address
1550 S POTOMAC ST, STE 370, AURORA, CO 80012-5455
(303) 369-1080
(303) 750-4913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32349
ANTHEM BLUE CROSS
CO
01
—
84087252106
PACIFICARE/SECURE HORIZON
CO
01
—
P00075124
RAILROAD MEDICARE
CO
Enumeration date
08/09/2005
Last updated
07/08/2007
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