MARK EDWARD DURHAM

COLORADO SPRINGS, CO
NPI1053615781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CO  1336)
Enumeration Date2011-01-10
Last Update Date2011-01-10
Business Address
Mr. MARK EDWARD DURHAM RMT
2208 RAMSGATE TER
COLORADO SPRINGS, CO 80919-3175
Phone number: 719-233-0213
Mailing Address
Mr. MARK EDWARD DURHAM RMT
2208 RAMSGATE TER
COLORADO SPRINGS, CO 80919-3175
Phone number: 719-233-0213