Doctor Name: | DR. MICHAEL MCCRACKEN |
NPI Number: | 1043291701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | DR-41566 |
Business Practice Address: | 11960 Lioness Way Suite 160 Parker, CO - 801345640 |
Business Phone Number: | 7208516600 |
Business Fax Number: | 7208510887 |
Mailing Address: | 11960 Lioness Way, Suite 160 PARKER |
State: | CO |
Postal Code: | 801345640 |
Phone Number: | 7208516600 |
Fax Number: | 7208510887 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | DR-41566 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |