Petrun, Mark

Petrun, Mark is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 300, Fort Collins CO 80528-3400. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Petrun, Mark can be contacted via phone (970) 224-9102.

Contact Information

Primary practice address
2121 E Harmony Rd Ste 300 Fort Collins CO 80528-3400
Phone: (970) 224-9102
Fax: (970) 224-9112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DR.0024745 Colorado
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DR.0024745 Colorado
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X DR.0024745 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0024745 Colorado

Profile Details

NPI number 1962472803
LBN Legal business name Petrun, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 16th, 2016 - about 10 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 1962472803 NPPES
Colorado MEDICAID 01247451
Colorado MEDICAID 104364100
Colorado Other 290007464

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