Provider Demographics
NPI:1770682296
Name:MULDROW, MARGARET E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:MULDROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE STE 4450
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1288
Mailing Address - Country:US
Mailing Address - Phone:303-830-2900
Mailing Address - Fax:303-830-2901
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 4450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-830-2900
Practice Address - Fax:303-830-2901
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33097207N00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01330976Medicaid
CO01330976Medicaid
COG27882Medicare UPIN