| Doctor Name: | DR. MARK D GUADAGNOLI |
| NPI Number: | 1043208259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29590 |
| Business Practice Address: | 2500 Rocky Mountain Ave Ste 100 Loveland, CO - 805389004 |
| Business Phone Number: | 9706241800 |
| Business Fax Number: | 9706241891 |
| Mailing Address: | 2500 Rocky Mountain Ave, Suite 100 LOVELAND |
| State: | CO |
| Postal Code: | 805389004 |
| Phone Number: | 9706241800 |
| Fax Number: | 9706241891 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 29590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |