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General NPI Number Information
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NPI Number | 1154564797
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Entity Type | Individual
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Provider Name | MARC AARON PASSO MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 11600 W 2ND PL
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City | LAKEWOOD
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State | CO
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Zip | 80228-1527
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Country | US
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Telephone | 721-321-4161
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Fax | 303-321-4165
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Provider Business Mailing Address
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Address Line | PO BOX 5788
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City | DENVER
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State | CO
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Zip | 80217-5788
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Country | US
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Telephone | 303-202-1280
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Fax | 303-202-1281
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 237289
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | DR.0051945
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License Number State | CO
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