Organization
MARK C MEYER MD LLC
Active
Other names
Spinal Diagnostics & Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C MEYER M.D. (MANAGING AGENT)
(719) 448-0981
Entity
Organization
Contact information
Practice address
5901 CORPORATE DR, COLORADO SPRINGS, CO 80919-1941
(719) 598-7562
(719) 598-2775
Mailing address
5901 CORPORATE DR, COLORADO SPRINGS, CO 80919-1941
(719) 598-7562
(719) 598-2775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352509
—
CO
01
—
10403617
CAQH PROVIDER NUMBER
CO
01
—
35250
COLORADO LICENSE
CO
Enumeration date
11/01/2006
Last updated
03/07/2023
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