Healthcare Provider Details

I. General information

NPI: 1508270851
Provider Name (Legal Business Name): GEORGE MARZLOFF II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2014
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 DESTINATION DR
BROOMFIELD CO
80021-2518
US

IV. Provider business mailing address

1700 WHEELING ST # K1-11SC
AURORA CO
80045-7211
US

V. Phone/Fax

Practice location:
  • Phone: 303-460-6000
  • Fax:
Mailing address:
  • Phone: 720-723-3300
  • Fax: 720-723-7837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberDR.0063898
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberDR.0063898
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number70676-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: