Organization · Type 2 NPI
Magnolia Medical Company
Addiction Medicine (Internal Medicine) Physician · Wheat Ridge, CO
Practice location
10160 W 50th Ave Unit 4
Wheat Ridge, CO 80033-2339
Fax (720) 638-5562
Mailing address
PO Box 29605, Dept # 800927
Phoenix, AZ 85038-9605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
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
About NPI 1477271997
Magnolia Medical Company's National Provider Identifier is 1477271997, issued on Aug 19, 2022. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Wheat Ridge, CO. The record was last updated on Feb 17, 2026.