MEDICARE: DR. MARK EDWARD JOHN MAGNER 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
1	207T00000X	Neurological Surgery Physician	DR.0064731	CO

General Provider Information

NPI Number	:	1851525497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK EDWARD JOHN MAGNER M.D.

Provider Business Mailing Address
First Line	:	500 E HAMPDEN AVE STE 425B
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2795
Country	:	US
Telephone Number	:	303-218-4260
Fax Number	:	303-954-4529

Provider Business Practice Location Address
First Line	:	500 E HAMPDEN AVE STE 425B
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2795
Country	:	US
Telephone Number	:	303-218-4260
Fax Number	:	303-954-4529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	01/09/2026

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