Healthcare Provider Details

I. General information

NPI: 1174272421
Provider Name (Legal Business Name): MEDNOW CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 S CLARKSON ST STE 200
ENGLEWOOD CO
80113-3960
US

IV. Provider business mailing address

3701 S CLARKSON ST STE 200
ENGLEWOOD CO
80113-3960
US

V. Phone/Fax

Practice location:
  • Phone: 720-769-8439
  • Fax: 303-955-1202
Mailing address:
  • Phone: 720-769-8439
  • Fax: 303-955-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

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