Provider Demographics
NPI:1316396047
Name:MCCARTHY, JUSTIN HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:HOWARD
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:500 ELDORADO BLVD
Mailing Address - Street 2:STE 6300
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3408
Mailing Address - Country:US
Mailing Address - Phone:303-272-0750
Mailing Address - Fax:303-272-0390
Practice Address - Street 1:500 ELDORADO BLVD
Practice Address - Street 2:STE 6300
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3408
Practice Address - Country:US
Practice Address - Phone:303-272-0750
Practice Address - Fax:303-272-0390
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR0059568207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine