Provider Demographics
NPI:1407090251
Name:O'FARRELL, MARGUERITE ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:ROSE
Last Name:O'FARRELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGUERITE
Other - Middle Name:ROSE
Other - Last Name:HALPHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5600 S QUEBEC ST
Mailing Address - Street 2:#312 A
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2207
Mailing Address - Country:US
Mailing Address - Phone:303-436-2727
Mailing Address - Fax:303-436-2710
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-788-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113502207P00000X
CODR. 0057859207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14L7TOtherBCBS FL
FL0059699-00Medicaid
FL0059699-00Medicaid