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Contact Information

MARK A BIRMINGHAM, DPM
2750 BROADWAY ST
BOULDER, CO80304-3573
 Phone: 303-440-3036
 Fax: 303-440-3232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

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

NPI # 1396913117
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/14/2008
Last updated 01/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # POD.0000683
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
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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