# PROVIDENCE HEALTHCARE ASSOCIATES PC

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

## Provider details

- **NPI number:** 1740488535
- **Authorized official:** MICHAEL COREY MCCARTY D.O. (PHYSICIAN-OWNER)
- **Authorized official phone:** (720) 985-6484

## Contact information

- **Practice address:** 2761 W 120TH AVE, SUITE 100, WESTMINSTER, CO 80234-2880
- **Practice address phone:** (303) 357-5620
- **Mailing address:** 2761 W 120TH AVE, SUITE 100, WESTMINSTER, CO 80234-2880
- **Mailing address phone:** (303) 357-5620

## Taxonomy

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

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 07/10/2007