Provider Demographics
NPI:1558535633
Name:JOHN H. MCVICKER, MD
Entity Type:Organization
Organization Name:JOHN H. MCVICKER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCVICKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-870-3050
Mailing Address - Street 1:PO BOX 460966
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-0966
Mailing Address - Country:US
Mailing Address - Phone:720-870-3050
Mailing Address - Fax:720-870-3027
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:720-870-3050
Practice Address - Fax:720-870-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty