# JON G. SHICK, D.O., LLC

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

## Provider details

- **NPI number:** 1568653236
- **Authorized official:** DR. JON GLENN SHICK D.O. (OWNER)
- **Authorized official phone:** (303) 423-0535

## Contact information

- **Practice address:** 7850 VANCE DR STE 185, ARVADA, CO 80003-2127
- **Practice address phone:** (303) 423-0535
- **Practice address fax:** (303) 422-3881
- **Mailing address:** PO BOX 848875, BOSTON, MA 02284-8875
- **Mailing address phone:** (303) 423-0535
- **Mailing address fax:** (303) 422-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 39612 | CO | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 01/23/2009