Mark David Menich, MD

NPI #1417983438 in Boulder, Colorado

Provider Information

NPI Number: 1417983438
Entity Type: Individual
Name: Mark David Menich, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology - Allergy
Credential: MD
Enumeration Date: Jun 23, 2006
Last Updated: Dec 30, 2015

Practice Location

Address: 3950 BROADWAY ST
Address 2: BOULDER VALLEY ASTHMA AND ALLERGY CLINICS
City: Boulder
State: Colorado
ZIP Code: 80304-1104
Phone: (303) 444-5995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary
Internal Medicine	207R00000X
Internal Medicine - Allergy & Immunology — Allergy & Immunology	207RA0201X

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