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Contact Information

MARK A EDSON, M.D., PH.D.
10101 RIDGEGATE PKWY
LONE TREE, CO80124-5522
 Phone: 303-338-4545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MARK A EDSON · (Male)

NPI # 1447543582
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/23/2011
Last updated 06/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0056393
  • TX License # BP10040627
  • CO Medicaid 79125042
  • CO Other 027019 KAISER COMMERCIAL NUMBER
Hospital affiliation(s)
  • EXEMPLA SAINT JOSEPH HOSPITAL - (Acute Care)
    1835 FRANKLIN ST
    DENVER, CO 80218
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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