Provider Demographics
NPI:1003899865
Name:MARCO, DAVID PAUL (CFA/CST,OPA-C,MCBS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:MARCO
Suffix:
Gender:M
Credentials:CFA/CST,OPA-C,MCBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NOME ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-3736
Mailing Address - Country:US
Mailing Address - Phone:303-341-2330
Mailing Address - Fax:303-344-2482
Practice Address - Street 1:1201 NOME ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-3736
Practice Address - Country:US
Practice Address - Phone:303-341-2330
Practice Address - Fax:303-344-2482
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1126246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant