Healthcare Provider Details

I. General information

NPI: 1033115829
Provider Name (Legal Business Name): DARREL KEITH QUICK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2005
Last Update Date: 07/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W DRY CREEK CIR STE 300
LITTLETON CO
80120-4478
US

IV. Provider business mailing address

20 W DRY CREEK CIR STE 300
LITTLETON CO
80120-4478
US

V. Phone/Fax

Practice location:
  • Phone: 303-269-2900
  • Fax: 303-269-2901
Mailing address:
  • Phone: 303-269-2900
  • Fax: 303-269-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number23316
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: