Provider Demographics
NPI:1366579245
Name:HUUN, MARK A (MD)
Entity type:Individual
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First Name:MARK
Middle Name:A
Last Name:HUUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-534-9550
Mailing Address - Fax:720-932-7805
Practice Address - Street 1:1515 WAZEE ST
Practice Address - Street 2:SUITE D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1478
Practice Address - Country:US
Practice Address - Phone:303-534-9550
Practice Address - Fax:720-932-7805
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-11-19
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Provider Licenses
StateLicense IDTaxonomies
CO30960207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF13478Medicare UPIN
COCOA109990Medicare PIN
COCK10588Medicare PIN