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NPI Code Detail

MEDICARE: GRACE ELLEN MARX M.D.

MEDICARE: GRACE ELLEN MARX M.D.
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
1207RI0200XInfectious Disease Physician52448CO

General Provider Information

NPI Number : 1144545799
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ELLEN MARX M.D.
Provider Business Mailing Address
First Line : 12300 W 38TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-3839
Country : US
Telephone Number : 206-214-6103
Fax Number :
Provider Business Practice Location Address
First Line : 605 BANNOCK ST
Second Line : MC 2600
City : DENVER
State : CO
Zip : 80204-4505
Country : US
Telephone Number : 303-602-8736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2010
Last Update Date : 03/02/2021

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Directions to “ GRACE ELLEN MARX M.D.” Practice Location

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