Provider Demographics
NPI:1902434996
Name:CRENSHAW, MOLLY MACKENZIE (MD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:MACKENZIE
Last Name:CRENSHAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Mailing Address - Street 2:13001 E. 17TH PLACE
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2581
Mailing Address - Country:US
Mailing Address - Phone:720-777-2724
Mailing Address - Fax:720-777-7258
Practice Address - Street 1:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Practice Address - Street 2:13001 E. 17TH PLACE
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2581
Practice Address - Country:US
Practice Address - Phone:720-777-2724
Practice Address - Fax:720-777-7258
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program