Provider Demographics
NPI:1700358645
Name:MEDNOW CLINICS, INC
Entity Type:Organization
Organization Name:MEDNOW CLINICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
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 1:7261 S BROADWAY STE 101
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8018
Mailing Address - Country:US
Mailing Address - Phone:303-471-2466
Mailing Address - Fax:
Practice Address - Street 1:7261 S BROADWAY STE 101
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8018
Practice Address - Country:US
Practice Address - Phone:303-471-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDNOW CLINICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty