Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID MENICH, MD
Active Sole ProprietorMARK DAVID MENICH, MD is a Allergy healthcare provider located in BOULDER, Colorado. NPI 1417983438 is currently active in the NPPES registry. Verify at CMS.
Allergy · BOULDER, CO
Registration Details
- NPI Number
- 1417983438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (20.140723671884 yrs)
- Last Updated
- Dec 30, 2015
- Licenses
-
46383 (CO)46383 (CO)MD044657E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3950 BROADWAY STBOULDER VALLEY ASTHMA AND ALLERGY CLINICSBOULDER, CO, 803041104Browse CO providers · Browse ZIP 80304
- Phone
- 3034445995
- Fax
- 3034435030
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Allergy & Immunology
Other Allergy Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| KAREN M ANDREWS | MD | 1750365565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.