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NPI Code Detail

MEDICARE: DR. MARK JERANKO D.O.

MEDICARE:  DR. MARK  JERANKO  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician5101021529MI
2207RR0500XRheumatology PhysicianDR.0064290CO

General Provider Information

NPI Number : 1114304573
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK JERANKO D.O.
Provider Business Mailing Address
First Line : 2500 ROCKY MOUNTAIN AVE STE 2200
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9004
Country : US
Telephone Number : 970-652-2333
Fax Number : 970-593-9731
Provider Business Practice Location Address
First Line : 2500 ROCKY MOUNTAIN AVE STE 2200
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9004
Country : US
Telephone Number : 970-652-2333
Fax Number : 970-593-9731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 04/10/2026

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Directions to “ DR. MARK JERANKO D.O.” Practice Location

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