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Individual

MARK S TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 E 19TH AVE STE 3300, DENVER, CO 80218-1239
(303) 837-0072
Mailing address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5866
AK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
40870
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021208
KAISER COMMERCIAL NUMBER
CO
05
86430777
CO
05
MD5851
AK
Enumeration date
07/05/2006
Last updated
01/14/2022
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