Provider Demographics
NPI:1154564797
Name:PASSO, MARC AARON (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:AARON
Last Name:PASSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5788
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-5788
Mailing Address - Country:US
Mailing Address - Phone:303-202-1280
Mailing Address - Fax:303-202-1281
Practice Address - Street 1:11600 W 2ND PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1527
Practice Address - Country:US
Practice Address - Phone:721-321-4161
Practice Address - Fax:303-321-4165
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA237289207P00000X
CODR.0051945207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029267OtherKAISER COMMERCIAL NUMBER
CO15437728Medicaid
20326023101OtherPACIFICARE SECURE HORIZONS