Healthcare Provider Details

I. General information

NPI: 1346226602
Provider Name (Legal Business Name): MARK A NORDEN M.D.,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 07/24/2021
Certification Date: 07/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PEAK ONE DRIVE
FRISCO CO
80443
US

IV. Provider business mailing address

PO BOX 5719
ATHENS GA
30604-5719
US

V. Phone/Fax

Practice location:
  • Phone: 303-885-4673
  • Fax: 405-948-6507
Mailing address:
  • Phone: 303-713-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41039
License Number StateCO

VIII. Authorized Official

Name: DR. MARK ANDREW NORDEN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 303-713-1300