Individual
DR. MICHAEL COREY MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6685 GUNPARK DR, STE. 110, BOULDER, CO 80301-3388
(303) 415-7599
(303) 530-5474
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 415-7599
(303) 530-5474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42850
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11305046
—
CO
Enumeration date
04/18/2006
Last updated
07/21/2022
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