Individual
WILLIAM MARSHALL CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S POTOMAC ST, #150, AURORA, CO 80012-4528
(303) 306-4321
(720) 524-1551
Mailing address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
53208
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59172282
—
CO
Enumeration date
04/15/2010
Last updated
05/19/2015
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