Provider Demographics
NPI:1417925926
Name:SINDLER, MARC A (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:A
Last Name:SINDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-3216
Mailing Address - Country:US
Mailing Address - Phone:719-275-4137
Mailing Address - Fax:719-275-4139
Practice Address - Street 1:215 N 5TH ST
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-3216
Practice Address - Country:US
Practice Address - Phone:719-275-4137
Practice Address - Fax:719-275-4139
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01240829Medicaid
CO110013099OtherRAILROAD MEDICARE
CAC224318Medicare ID - Type Unspecified
CO110013099OtherRAILROAD MEDICARE