Organization
MEDNOW CLINICS, INC
Active
Parent organization
MEDNOW CLINICS, INC
Other names
South Logan Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDNOW CLINICS, INC
Authorized official
NATHANIEL J MOORE MD (OWNER)
(303) 733-3764
Entity
Organization
Contact information
Practice address
895 S LOGAN ST, DENVER, CO 80209-4127
(303) 733-3764
(303) 733-0868
Mailing address
895 S LOGAN ST, DENVER, CO 80209-4127
(303) 733-3764
(303) 733-0868
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35543
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355437
—
CO
Enumeration date
12/12/2014
Last updated
11/06/2015
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