Organization · Type 2 NPI

Magnolia Medical Company

Addiction Medicine (Internal Medicine) Physician · Denver, CO

NPI number 1043769862 Active

Practice location

2925 E Colfax Ave
Denver, CO 80206-1604

Fax (720) 638-5562

Mailing address

PO Box 29605, Dept # 800927
Phoenix, AZ 85038-9605

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Psychologist 103T00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XNone listed
Surgery Physician 208600000XNone listed
Clinical Medical Laboratory 291U00000X06D2121590 (CO)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

2 other providers at this address

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About NPI 1043769862

Magnolia Medical Company's National Provider Identifier is 1043769862, issued on Sep 22, 2016. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Denver, CO. The record was last updated on Feb 17, 2026.