Organization
JON G. SHICK, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON GLENN SHICK D.O. (OWNER)
(303) 423-0535
Entity
Organization
Contact information
Practice address
7850 VANCE DR STE 185, ARVADA, CO 80003-2127
(303) 423-0535
(303) 422-3881
Mailing address
PO BOX 848875, BOSTON, MA 02284-8875
(303) 423-0535
(303) 422-3881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39612
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42004772
—
CO
Enumeration date
08/07/2007
Last updated
01/23/2009
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