Basic Information
| Provider Information | |||||||||
| NPI: | 1184698284 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DENKINGER | ||||||||
| FirstName: | MARSHALL | ||||||||
| MiddleName: | ESTY | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5788 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802175788 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032021280 | ||||||||
| FaxNumber: | 3032021281 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 PEAK ONE DR. | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804430738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706688123 | ||||||||
| FaxNumber: | 9706682844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 08/16/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35016 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 122683500 | 05 | WY | MEDICAID | P00368639 | 01 | CO | RR MEDICARE | OTHER | 143949 | 05 | AZ | MEDICAID | Z3287 | 05 | UT | MEDICAID | 200389010A | 05 | KS | MEDICAID | 47598 | 05 | NM | MEDICAID | 01350164 | 05 | CO | MEDICAID |