Healthcare Provider Details

I. General information

NPI: 1881670131
Provider Name (Legal Business Name): MARK ANDREW NORDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 11/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PEAK ONE DRIVE
FRISCO CO
80443
US

IV. Provider business mailing address

PO BOX 5075
FRISCO CO
80443-5075
US

V. Phone/Fax

Practice location:
  • Phone: 303-885-4673
  • Fax: 405-948-6507
Mailing address:
  • Phone: 303-885-4673
  • 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:
Title or Position:
Credential:
Phone: