Provider Demographics
NPI:1033115829
Name:QUICK, DARREL KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREL
Middle Name:KEITH
Last Name:QUICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 W DRY CREEK CIR
Mailing Address - Street 2:STE 300
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4478
Mailing Address - Country:US
Mailing Address - Phone:303-269-2900
Mailing Address - Fax:303-269-2901
Practice Address - Street 1:20 W DRY CREEK CIR
Practice Address - Street 2:STE 300
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4478
Practice Address - Country:US
Practice Address - Phone:303-269-2900
Practice Address - Fax:303-269-2901
Is Sole Proprietor?:No
Enumeration Date:2005-06-26
Last Update Date:2012-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO233162083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF17176Medicare UPIN