Provider Demographics
NPI:1649296625
Name:MCGEHEE, REX HAMMOND (MD)
Entity type:Individual
Prefix:
First Name:REX
Middle Name:HAMMOND
Last Name:MCGEHEE
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 1:390 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4549
Mailing Address - Country:US
Mailing Address - Phone:303-329-3319
Mailing Address - Fax:303-322-3394
Practice Address - Street 1:390 HARRISON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4549
Practice Address - Country:US
Practice Address - Phone:303-329-3319
Practice Address - Fax:303-322-3394
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO263902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC61051Medicare ID - Type Unspecified
E21796Medicare UPIN