| Jon G. Shick, D.o., Llc | |
|
7850 Vance Dr Ste 185 Arvada CO 80003-2127 | |
| (303) 423-0535 | |
| (303) 422-3881 |
| Full Name | Jon G. Shick, D.o., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7850 Vance Dr Ste 185, Arvada, Colorado |
| Authorized Official Name and Position | Jon Glenn Shick (OWNER) |
| Authorized Official Contact | 3034230535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon G. Shick, D.o., Llc Po Box 848875 Boston MA 02284-8875 Ph: (303) 423-0535 | Jon G. Shick, D.o., Llc 7850 Vance Dr Ste 185 Arvada CO 80003-2127 Ph: (303) 423-0535 |
| NPI Number | 1568653236 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568653236 | NPI | - | NPPES |
| 42004772 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39612 (Colorado) | Primary |
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