Provider Demographics
NPI:1861613028
Name:SEEVERS, MARK DARREN (CSA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:DARREN
Last Name:SEEVERS
Suffix:
Gender:M
Credentials:CSA
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Other - Credentials:
Mailing Address - Street 1:10244 ALAXA LANE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80110-8028
Mailing Address - Country:US
Mailing Address - Phone:720-327-1335
Mailing Address - Fax:303-395-0826
Practice Address - Street 1:10239 BENTWOOD CIRCLE
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-0239
Practice Address - Country:US
Practice Address - Phone:303-791-8565
Practice Address - Fax:303-395-0826
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant