Provider Demographics
NPI:1063538817
Name:HUNTER, JOHN MARSHALL (M D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARSHALL
Last Name:HUNTER
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8702
Mailing Address - Country:US
Mailing Address - Phone:970-221-5878
Mailing Address - Fax:970-221-3564
Practice Address - Street 1:2315 E HARMONY RD
Practice Address - Street 2:SUITE 130
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-8620
Practice Address - Country:US
Practice Address - Phone:970-221-5878
Practice Address - Fax:970-221-3564
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2016-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO48386208600000X
TXM6204208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00970373OtherRAILROAD MEDICARE
CO19984243Medicaid
COP00970373OtherRAILROAD MEDICARE