Provider Demographics
NPI:1497764823
Name:ADLER, MARILYN K (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:K
Last Name:ADLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12 GARDEN CTR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7084
Mailing Address - Country:US
Mailing Address - Phone:303-466-3007
Mailing Address - Fax:303-464-1413
Practice Address - Street 1:255 CANYON BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-4979
Practice Address - Country:US
Practice Address - Phone:303-449-6100
Practice Address - Fax:303-449-8973
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO360472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C803492Medicare ID - Type Unspecified
E29869Medicare UPIN