| Owl Creek Medical | |
|
70 S 20th Ave Suite H Brighton CO 80601-3703 | |
| (303) 655-1111 | |
| (303) 655-1172 |
| Full Name | Owl Creek Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 70 S 20th Ave, Brighton, Colorado |
| Authorized Official Name and Position | Warren T Johnson (CEO) |
| Authorized Official Contact | 3036551111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Creek Medical 70 S 20th Ave Suite H Brighton CO 80601-3703 Ph: (303) 655-1111 | Owl Creek Medical 70 S 20th Ave Suite H Brighton CO 80601-3703 Ph: (303) 655-1111 |
| NPI Number | 1801236948 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801236948 | NPI | - | NPPES |
| 01248277 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24827 (Colorado) | Primary |
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