Provider Demographics
NPI:1891743290
Name:MCGRORY, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:MCGRORY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 S BEELER ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1834
Mailing Address - Country:US
Mailing Address - Phone:303-917-3610
Mailing Address - Fax:
Practice Address - Street 1:2141 E CAMELBACK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4764
Practice Address - Country:US
Practice Address - Phone:602-626-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine