Provider Demographics
NPI:1972717403
Name:DARLING, MARK C
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:C
Last Name:DARLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W TROUTMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5967
Mailing Address - Country:US
Mailing Address - Phone:970-223-3335
Mailing Address - Fax:
Practice Address - Street 1:132 W TROUTMAN PKWY
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5967
Practice Address - Country:US
Practice Address - Phone:970-223-3335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC803137Medicare PIN
COV06584Medicare UPIN