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NPI Code Detail

MEDICARE: MRS. JENNIFER LYN MARKLEY MD

MEDICARE: MRS. JENNIFER LYN MARKLEY MD
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
1208000000XPediatrics PhysicianCO37279CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174618318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYN MARKLEY MD
Provider Business Mailing Address
First Line : 2001 S SHIELDS ST
Second Line : BLDG G
City : FORT COLLINS
State : CO
Zip : 80526-1834
Country : US
Telephone Number : 970-484-4871
Fax Number : 970-482-4927
Provider Business Practice Location Address
First Line : 2001 S SHIELDS ST
Second Line : BLDG G
City : FORT COLLINS
State : CO
Zip : 80526-1834
Country : US
Telephone Number : 970-484-4871
Fax Number : 970-482-4927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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