Healthcare Provider Details
I. General information
NPI: 1518540442
Provider Name (Legal Business Name): US CAREWAYS-DEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2021
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8900 PENA BLVD UNIT R18-1-3-E3-S6-1 CONCOURSE
DENVER CO
80249
US
IV. Provider business mailing address
14818 N 74TH STREET
SCOTTSDALE AZ
85260
US
V. Phone/Fax
- Phone: 480-221-8059
- Fax:
- Phone: 480-221-8059
- Fax: 480-452-0823
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
JOSEPH
SHUFELDT
JR.
Title or Position: MEMBER
Credential: MD
Phone: 480-339-5088