| Doctor Name: | MR. JOHN EDWARD MARQUEZ |
| NPI Number: | 1023153723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 1594 |
| Business Practice Address: | 3330 S Broadway Unit 566 Englewood, CO - 801513301 |
| Business Phone Number: | 3036685231 |
| Business Fax Number: | 7209209791 |
| Mailing Address: | Po Box 566, ENGLEWOOD |
| State: | CO |
| Postal Code: | 801510566 |
| Phone Number: | 3036685231 |
| Fax Number: | 7209209791 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1594 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |