Marilyn Ann Gandolph in Louisville - Medical
Marilyn Ann Gandolph - NPI 1154388148
Marilyn Ann Gandolph is a Medical in Louisville, Colorado. Marilyn Ann Gandolph practices all healthcare services and medical treatments related to Medical. The NPI Number for Marilyn Ann Gandolph is 1154388148. The last update date is 2018-03-17.
Marilyn Ann Gandolph's current location address is 325 W S Boulder Rd Ste 101, Louisville, Colorado. You can contact this provider via phone number 7205191596 and fax number 7205429408. The mailing address for Marilyn Ann Gandolph is 325 W S Boulder Rd Ste 101, Louisville, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Ann Gandolph |
|---|---|
| Address | 325 W S Boulder Rd Ste 101, Louisville, Colorado |
| Phone Number | 7205191596 |
| Fax Number | 7205429408 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1154388148 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 325 W S Boulder Rd Ste 101 |
|---|---|
| City | Louisville |
| State | Colorado (CO) |
| Post Code | 800271130 |
| Phone Number | 7205191596 |
| Fax Number | 7205429408 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3015 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Marilyn Ann Gandolph by the Centers for Medicare & Medicaid Services?
The Marilyn Ann Gandolph has been assigned the NPI (National Provider Identifier) 1154388148 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marilyn Ann Gandolph?
The Marilyn Ann Gandolph is physically situated at 325 W S Boulder Rd Ste 101, in the city of Louisville, state of CO, with the postal code 800271130.
What is Marilyn Ann Gandolph's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marilyn Ann Gandolph's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did Marilyn Ann Gandolph receive its 1154388148 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn Ann Gandolph was assigned its 1154388148 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Marilyn Ann Gandolph most recently updated?
The details pertaining to the Marilyn Ann Gandolph, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.