Individual
DR. JOHN RICHARD MCINERNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9950 W 80TH AVE STE 17, ARVADA, CO 80005-3914
(303) 423-9585
Mailing address
511 N FORD ST, GOLDEN, CO 80403-1356
(303) 278-2266
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
21030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21030
LICENSE NUMBER
CO
Enumeration date
05/31/2005
Last updated
07/08/2007
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