Mark David Menich is a Allergy in Boulder, Colorado. Mark David Menich practices all healthcare services and medical treatments related to Allergy. The NPI Number for Mark David Menich is 1417983438. The last update date is 2015-12-30.
Mark David Menich's current location address is 3950 Broadway St, Boulder, Colorado. You can contact this provider via phone number 3034445995 and fax number 3034435030. The mailing address for Mark David Menich is 3950 Broadway St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Menich |
|---|---|
| Address | 3950 Broadway St, Boulder, Colorado |
| Phone Number | 3034445995 |
| Fax Number | 3034435030 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417983438 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2015-12-30 |
Provider Mailing Address Detail
| Address | 3950 Broadway St |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803041104 |
| Phone Number | 3034445995 |
| Fax Number | 3034435030 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 46383 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14209764 | CO | -- |
Post Comment/ Review Below
What is the Mark David Menich's 1417983438?
The Mark David Menich's NPI (National Provider Identifier) Number is 1417983438. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark David Menich located?
The Mark David Menich is located at 3950 Broadway St, Boulder, CO 803041104.
What is the Mark David Menich's specialty and taxonomy code?
The Mark David Menich's specialty is Allergy, and the corresponding taxonomy code is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417983438 to Mark David Menich?
The Centers for Medicare & Medicaid Services assigned the 1417983438 to Mark David Menich on 2006-06-23.
When was the information regarding Mark David Menich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark David Menich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-30.