Provider Demographics
NPI:1366682320
Name:SOUND CLINIC
Entity Type:Organization
Organization Name:SOUND CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-698-0333
Mailing Address - Street 1:2460 W 26TH AVE STE 420C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5363
Mailing Address - Country:US
Mailing Address - Phone:303-698-0333
Mailing Address - Fax:303-698-0198
Practice Address - Street 1:100 ACOMA ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-1464
Practice Address - Country:US
Practice Address - Phone:303-522-1495
Practice Address - Fax:303-698-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty