DAVID MARC NORTHERN

USAF ACADEMY, CO
NPI1164749875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CO  DR.0068175)
Additional Taxonomies208600000X Surgery
(Licence: AL  37734)
Enumeration Date2010-04-21
Last Update Date2023-06-30
Business Address
DAVID MARC NORTHERN MD
4102 PINION DR
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5140
Mailing Address
DAVID MARC NORTHERN MD
4102 PINION DR
USAF ACADEMY, CO 80840-2502
Phone number:
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