# OAK CREEK FAMILY PRACTICE PC

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

## Provider details

- **NPI number:** 1952442600
- **Authorized official:** DR. ROBERT RANDY DILLON MD (OWNER PRESIDENT MD)
- **Authorized official phone:** (719) 276-0725

## Contact information

- **Practice address:** 2400 EDISON ST, BRUSH, CO 80723-1640
- **Practice address phone:** (702) 453-3799
- **Practice address fax:** (702) 453-5741
- **Mailing address:** 2550 PINEHURST DR, EVERGREEN, CO 80439-5906
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35220 | CO | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 11/13/2015