Dr. Mark A Chidel, MD
in Denver, CO. Individual provider (NPI-1).
NPI number1780711366
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1780711366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark A Chidel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2007
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 40739 | CO | Yes |
Practice location
1375 E 19th AveDenver, CO 80218-1114
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
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