Healthcare Provider Details

I. General information

NPI: 1851149686
Provider Name (Legal Business Name): MEDNOW CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2993 S PEORIA ST STE G5
AURORA CO
80014-5705
US

IV. Provider business mailing address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-7055
  • Fax: 720-390-5188
Mailing address:
  • Phone: 720-878-7055
  • Fax: 720-390-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NATHANIEL J MOORE
Title or Position: OWNER
Credential: MD
Phone: 720-878-7055