Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2922 | CO |
NPI | 1356489744 |
---|---|
Provider Name | Dr. Marc Alan Garfinkel |
First Address | Englewood, CO 80111-5721 |
Second Address | Centennial, CO 80112-1145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6453 | BLUE CROSS (01) | |
U30602 | (02) | CO |