Patrick R. Cavanaugh, Do | |
1350 Stuart St Longmont CO 80501-3156 | |
(303) 776-7300 | |
(303) 776-7308 |
Full Name | Patrick R. Cavanaugh, Do |
---|---|
Speciality | Family Medicine |
Location | 1350 Stuart St, Longmont, Colorado |
Authorized Official Name and Position | Patrick R Cavanaugh (OWNER) |
Authorized Official Contact | 3037767300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patrick R. Cavanaugh, Do 1350 Stuart St Longmont CO 80501-3156 Ph: (303) 776-7300 | Patrick R. Cavanaugh, Do 1350 Stuart St Longmont CO 80501-3156 Ph: (303) 776-7300 |
NPI Number | 1184823346 |
---|---|
Provider Enumeration Date | 07/17/2007 |
Last Update Date | 07/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184823346 | NPI | - | NPPES |
01164300 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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