Healthcare Provider Details

I. General information

NPI: 1801501507
Provider Name (Legal Business Name): MEDNOW CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 E EGBERT ST STE 100
BRIGHTON CO
80601-2404
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:

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: PRESIDENT
Credential: MD
Phone: 720-878-7055