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Individual

MR. JOHN M MCAWARD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., M.T.C.

Contact information

Practice address
1 MERCADO ST STE 201, DURANGO, CO 81301-7307
(970) 385-0644
(970) 385-0620
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTL.0002702
CO
2251X0800X
Orthopedic Physical Therapist
Primary
2702
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54804337
CO
05
63722887
NM
Enumeration date
07/11/2005
Last updated
01/05/2022
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