Provider Demographics
NPI:1669870622
Name:SARE, MARY (DVM)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:SARE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:23605 OEHLMANN PARK RD
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-4504
Mailing Address - Country:US
Mailing Address - Phone:303-697-4864
Mailing Address - Fax:303-697-5010
Practice Address - Street 1:23605 OEHLMANN PARK RD
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-4504
Practice Address - Country:US
Practice Address - Phone:303-697-4864
Practice Address - Fax:303-697-5010
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8258174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian