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NPI Code Detail

MEDICARE: DR. MARK DILGER M.D

MEDICARE:  DR. MARK  DILGER  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
12084P0800XPsychiatry Physician34348CO

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 : 1679745087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DILGER M.D
Provider Business Mailing Address
First Line : 5756 S BAHAMA CIR E
Second Line :
City : AURORA
State : CO
Zip : 80015-3152
Country : US
Telephone Number : 303-400-1015
Fax Number :
Provider Business Practice Location Address
First Line : 4610 S ULSTER ST
Second Line : 150
City : DENVER
State : CO
Zip : 80237-4321
Country : US
Telephone Number : 303-400-1015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2008
Last Update Date : 03/25/2008

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Directions to “ DR. MARK DILGER M.D” Practice Location

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