Individual
DR. EMMA E.K. MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3122
(303) 440-3282
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3122
(303) 440-3282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13626R
LA
208000000X
Pediatrics Physician
13626R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431290
—
LA
01
—
414798YLMV
MEDICARE PTAN
CO
05
—
87150018
—
CO
Enumeration date
06/09/2005
Last updated
08/19/2016
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