Healthcare Provider Details

I. General information

NPI: 1184988560
Provider Name (Legal Business Name): MARCO A PINDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 EAST 16TH AVE
DENVER CO
80238
US

IV. Provider business mailing address

13123 EAST 16TH AVENUE BOX 100
DENVER CO
80238
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-2940
  • Fax: 720-777-7290
Mailing address:
  • Phone: 720-777-2940
  • Fax: 720-777-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberDR.0055562
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: