Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 49271 | CO |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G81331 | CA |
NPI | 1679509566 |
---|---|
Provider Name | Mark H Perlman |
First Address | Denver, CO 80205-5437 |
Second Address | Denver, CO 80205-5437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 20/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G813310 | (05) | CA |
021144 | KAISER COMMERCIAL NUMBER (01) | CO |
33571376 | (05) | CO |
G98662 | (02) | CA |