Individual
MARK EDWARD MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1619 N GREENWOOD ST, STE 300, PUEBLO, CO 81003-2644
(719) 543-2476
(719) 543-2479
Mailing address
1619 N GREENWOOD ST STE 300, PUEBLO, CO 81003-2657
(719) 543-2476
(719) 543-2479
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD.0000717
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27033333
—
CO
Enumeration date
06/25/2009
Last updated
04/08/2026
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