| Markkatzmd, Llc | |
|
1942 Broadway Ste 314c Boulder CO 80302-5233 | |
| (720) 340-3161 | |
| (801) 797-0929 |
| Full Name | Markkatzmd, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Authorized Official Name and Position | Mark Katz (OWNER) |
| Authorized Official Contact | 7203403161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Markkatzmd, Llc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (720) 340-3161 | Markkatzmd, Llc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (720) 340-3161 |
| NPI Number | 1912667411 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912667411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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