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501 20th St, 55, Greeley, CO 80639-0001 | |
(970) 351-2012 | |
(970) 351-1601 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Hearing And Speech |
Location | 501 20th St, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578551024 | NPI | - | NPPES |
04439097 | Medicaid | CO |
Provider Name | Tina M Stoody |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1790749745 PECOS PAC ID: 0446323547 Enrollment ID: I20080723000350 |
Provider Name | Diane L Erdbruegger |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1639164049 PECOS PAC ID: 6709045917 Enrollment ID: I20120307000784 |
Provider Name | Erinn M Jimmerson |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1669510996 PECOS PAC ID: 4981857729 Enrollment ID: I20130104000063 |
Provider Name | Jennifer E Weber |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1225023245 PECOS PAC ID: 5092033654 Enrollment ID: I20150410000077 |
Mailing Address | Practice Location Address |
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501 20th St, 55, Greeley, CO 80639-0001 Ph: (970) 351-2012 | 501 20th St, 55, Greeley, CO 80639-0001 Ph: (970) 351-2012 |