Provider Demographics
NPI:1760668446
Name:ROCCO, MARK K (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:K
Last Name:ROCCO
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2140 HOLLOW BROOK DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4253
Mailing Address - Country:US
Mailing Address - Phone:719-594-0071
Mailing Address - Fax:719-260-1964
Practice Address - Street 1:2140 HOLLOW BROOK DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4253
Practice Address - Country:US
Practice Address - Phone:719-594-0071
Practice Address - Fax:719-260-1964
Is Sole Proprietor?:No
Enumeration Date:2008-01-13
Last Update Date:2015-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COCHR-6150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC811540Medicare PIN