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NPI Code Detail

MEDICARE: CIRRUSMD PROVIDER NETWORK

MEDICARE: CIRRUSMD PROVIDER NETWORK
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number : 1740789668
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRRUSMD PROVIDER NETWORK
Provider Business Mailing Address
First Line : 3513 BRIGHTON BLVD STE 230
Second Line :
City : DENVER
State : CO
Zip : 80216-3606
Country : US
Telephone Number : 720-996-0522
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LAWRENCE ST # 101
Second Line :
City : DENVER
State : CO
Zip : 80205-3422
Country : US
Telephone Number : 916-215-4554
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. JOHN DUTTON
Credential : MD
Telephone Number : 916-215-4554
Provider Enumeration Date : 02/06/2018
Last Update Date : 03/05/2024

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Directions to “CIRRUSMD PROVIDER NETWORK ” Practice Location

Language Start Address Practice Location
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