Healthcare Provider Details

I. General information

NPI: 1669937983
Provider Name (Legal Business Name): MEDNOW CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

842 N. SUMMIT BLVD STE. 15
FRISCO CO
80443-5959
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 720-769-8439
  • 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: MR. NATHANIEL J MOORE
Title or Position: OWNER
Credential: M.D.
Phone: 720-878-7055