# PATRICK R. CAVANAUGH, DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184823346
- **Authorized official:** PATRICK R CAVANAUGH D.O. (OWNER)
- **Authorized official phone:** (303) 776-7300

## Contact information

- **Practice address:** 1350 STUART ST, LONGMONT, CO 80501-3156
- **Practice address phone:** (303) 776-7300
- **Practice address fax:** (303) 776-7308
- **Mailing address:** 1350 STUART ST, LONGMONT, CO 80501-3156
- **Mailing address phone:** (303) 776-7300
- **Mailing address fax:** (303) 776-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007