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Individual

MARC A DOUCETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11600 W 2ND PL, ST. ANTHONY HOSPITAL EMERGENCY DEPARTMENT, LAKEWOOD, CO 80228-1527
(303) 202-1280
(303) 202-1281
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37409
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122682700
WY
05
200384150A
KS
01
20326023101
PACIFICARE SECURE HORIZONS
05
89476352
CO
05
98225723
NM
01
P00368641
RR MEDICARE
CO
05
Z3345
UT
Enumeration date
02/09/2006
Last updated
12/23/2015
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