Provider Demographics
NPI:1376518597
Name:MCGARRY, JOHN J (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:MCGARRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 E. HARVARD AVE.,
Mailing Address - Street 2:STE. #300 JOHN J. MCGARRY, DPM
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7005
Mailing Address - Country:US
Mailing Address - Phone:303-722-6864
Mailing Address - Fax:303-722-5113
Practice Address - Street 1:950 E. HARVARD AVE.,
Practice Address - Street 2:STE. #300 JOHN J. MCGARRY, DPM
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7005
Practice Address - Country:US
Practice Address - Phone:303-722-6864
Practice Address - Fax:303-722-5113
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO00402213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01004027Medicaid
COC54233Medicare PIN
COT-60244Medicare UPIN