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Organization

MCCRACKEN EYE & FACE INSTITUTE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCCRACKEN MD (PRESIDENT)
(303) 916-1553
Entity
Organization

Contact information

Practice address
11960 LIONESS WAY, SUITE 160, PARKER, CO 80134-5640
(720) 851-6600
Mailing address
11960 LIONESS WAY, SUITE 160, PARKER, CO 80134-5640

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DR-41566
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043291701
INDIVIDUAL NPI
CO
01
503038
MEDICARE ID
CO
Enumeration date
02/20/2009
Last updated
04/16/2009
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