Durst, Marian Dawn

Durst, Marian Dawn is an individual health care provider with primary practice located at 2020 Wadsworth Blvd Ste 16, Lakewood CO 80214-5730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Durst, Marian Dawn can be contacted via phone (303) 233-8701.

Contact Information

Primary practice address
2020 Wadsworth Blvd Ste 16 Lakewood CO 80214-5730
Phone: (303) 233-8701
Fax: (303) 233-2850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29574 Colorado

Profile Details

NPI number 1629061536
LBN Legal business name Durst, Marian Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Mar 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629061536 NPPES
Colorado MEDICAID 01295740

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