Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 2799 | CO |
NPI | 1053631168 |
---|---|
Provider Name | Dr. Mark Armbruster |
First Address | Denver, CO 80227-4810 |
Second Address | Denver, CO 80227-4810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 26/07/2016 |