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NPI Code Detail

MEDICARE: MEDNOW CLINICS, INC.

MEDICARE: MEDNOW CLINICS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386854354
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDNOW CLINICS, INC.
Provider Business Mailing Address
First Line : 2224 S FRASER ST
Second Line : UNIT 1
City : AURORA
State : CO
Zip : 80014-4548
Country : US
Telephone Number : 720-878-7055
Fax Number : 720-390-5188
Provider Business Practice Location Address
First Line : 1555 S WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-6832
Country : US
Telephone Number : 303-985-1597
Fax Number : 303-985-2108
Authorized Official
Title or Position : OWNER
Name : NATHANIEL J MOORE
Credential : M.D.
Telephone Number : 720-878-7055
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/24/2025

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