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NPI Code Detail

MEDICARE: DR. WILLIAM ROGER MARKEL M.D.

MEDICARE: DR. WILLIAM ROGER MARKEL 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
1207QA0505XAdult Medicine Physician13310CO

General Provider Information

NPI Number : 1568466027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ROGER MARKEL M.D.
Provider Business Mailing Address
First Line : 13624 ASPEN ST
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-9695
Country : US
Telephone Number : 303-466-3620
Fax Number : 303-466-3620
Provider Business Practice Location Address
First Line : 1420 W MIDWAY BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2090
Country : US
Telephone Number : 303-466-1866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 03/08/2012

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