Provider Demographics
NPI:1669937983
Name:MEDNOW CLINICS, INC.
Entity type:Organization
Organization Name:MEDNOW CLINICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-878-7055
Mailing Address - Street 1:15101 E ILIFF AVE
Mailing Address - Street 2:STE 140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4548
Mailing Address - Country:US
Mailing Address - Phone:720-878-7055
Mailing Address - Fax:720-390-5188
Practice Address - Street 1:842 N. SUMMIT BLVD
Practice Address - Street 2:STE. 15
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5959
Practice Address - Country:US
Practice Address - Phone:720-769-8439
Practice Address - Fax:720-390-5188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDNOW CLINICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-01
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty