Duster, Mark C

Duster, Mark C is an individual health care provider with primary practice located at 1400 E Boulder St Memorial Childrens Hospital, Colorado Springs CO 80909-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Duster, Mark C can be contacted via phone (719) 365-9543.

Contact Information

Primary practice address
1400 E Boulder St Memorial Childrens Hospital Colorado Springs CO 80909-5533
Phone: (719) 365-9543
Fax: (719) 365-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 21521 Colorado

Profile Details

NPI number 1902903198
LBN Legal business name Duster, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 5th, 2018 - about 6 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 1902903198 NPPES
Colorado MEDICAID 01215219

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