Individual
MARK C DUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, MEMORIAL CHILDRENS HOSPITAL, COLORADO SPRINGS, CO 80909-5533
(719) 365-9543
(719) 365-5530
Mailing address
1400 E BOULDER ST, MEMORIAL CHILDRENS HOSPITAL, COLORADO SPRINGS, CO 80909-5533
(719) 365-9543
(719) 365-5530
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
21521
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215219
—
CO
Enumeration date
09/20/2006
Last updated
09/05/2018
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