Organization
PROVIDENCE HEALTHCARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COREY MCCARTY D.O. (PHYSICIAN-OWNER)
(720) 985-6484
Entity
Organization
Contact information
Practice address
2761 W 120TH AVE, SUITE 100, WESTMINSTER, CO 80234-2880
(303) 357-5620
Mailing address
2761 W 120TH AVE, SUITE 100, WESTMINSTER, CO 80234-2880
(303) 357-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/10/2007
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