Individual
DR. NATHAN PATRICK MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 245-1220
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 598-6900
(304) 285-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0075211
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2022
Last updated
06/24/2025
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