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Mark Andreis

NPI 1114315207 · on the registry since 2014 · sole proprietor

Practice

Address
2271 Surrey Ln
Canon City, CO 81212
Phone
(719) 276-0638

Registry record

Primary taxonomy
163WC0400X
163WC0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado