King, Mark D

King, Mark D is an individual health care provider with primary practice located at 4800 Riverbend Rd Suite 200, Boulder CO 80301-2636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. King, Mark D can be contacted via phone (303) 415-8850.

Contact Information

Primary practice address
4800 Riverbend Rd Suite 200 Boulder CO 80301-2636
Fax: (303) 415-8870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X DR.0043187 Colorado

Profile Details

NPI number 1902888746
LBN Legal business name King, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 9th, 2017 - about 8 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 1902888746 NPPES
Colorado MEDICAID 73205338

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