Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 34745 | CO |
N | 207PE0004X | Emergency Medical Services | 0320000502 | CO |
Y | 207Q00000X | Family Doctor | 34745 | CO |
NPI | 1598790198 |
---|---|
Provider Name | Dr. Mark C Winslow |
First Address | Littleton, CO 80125-1891 |
Second Address | Denver, CO 80230-7306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 12/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01347451 | (05) | CO |