Organization
CHERRY CREEK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARRYN FARRELL (CFO)
(970) 631-4173
Entity
Organization
Contact information
Practice address
155 S MADISON ST STE 324, DENVER, CO 80209-3099
(303) 882-4113
(303) 321-0663
Mailing address
155 S MADISON ST STE 324, DENVER, CO 80209-3099
(303) 882-4113
(303) 321-0663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/13/2019
Last updated
05/06/2019
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