Individual
JOEL E MCCREARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 415-2532
Mailing address
PO BOX 17389, DENVER, CO 80217-0389
(888) 900-3788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4793
AZ
207L00000X
Anesthesiology Physician
Primary
DR.0064755
CO
207L00000X
Anesthesiology Physician
OP 60075830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644225
—
AZ
Enumeration date
02/11/2009
Last updated
11/10/2020
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