Doctor Name: | MARK DOUGLAS FORTE |
NPI Number: | 1114137577 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 29025 |
Business Practice Address: | 8683 E Lincoln Ave Suite 100 Lone Tree, CO - 801249811 |
Business Phone Number: | 3037061555 |
Business Fax Number: | 3037061199 |
Mailing Address: | 8683 E Lincoln Ave, Suite 100 LONE TREE |
State: | CO |
Postal Code: | 801249811 |
Phone Number: | 3037061555 |
Fax Number: | 3037061199 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 29025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |