Sanazaro, Mark Robert

Sanazaro, Mark Robert is an individual health care provider with primary practice located at 5920 Mcintyre St , Golden CO 80403-7445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanazaro, Mark Robert can be contacted via phone (303) 949-1250.

Contact Information

Primary practice address
5920 Mcintyre St Golden CO 80403-7445
Phone: (303) 949-1250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29147 Colorado

Profile Details

NPI number 1740287077
LBN Legal business name Sanazaro, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Nov 19th, 2015 - about 11 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 1740287077 NPPES
Colorado MEDICAID 31670237

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