Provider Demographics
NPI:1285011684
Name:MCGINN, CAMRI J (MD)
Entity Type:Individual
Prefix:
First Name:CAMRI
Middle Name:J
Last Name:MCGINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 W 38TH AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4300
Mailing Address - Country:US
Mailing Address - Phone:303-403-3670
Mailing Address - Fax:303-403-6489
Practice Address - Street 1:8550 W 38TH AVE STE 220
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4300
Practice Address - Country:US
Practice Address - Phone:303-403-3670
Practice Address - Fax:303-403-6489
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0058324207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1154967719OtherORGANIZATION NPI