| Advanced Neurology Of Colorado, Llc | |
|
1551 Professional Ln Unit 125 Longmont CO 80501-6971 | |
| (970) 226-6111 | |
| (970) 226-6707 |
| Full Name | Advanced Neurology Of Colorado, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1551 Professional Ln Unit 125, Longmont, Colorado |
| Authorized Official Name and Position | Paul Michael Miller (SITE MANAGER) |
| Authorized Official Contact | 9702276333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Of Colorado, Llc 2121 E Harmony Rd Unit 180 Fort Collins CO 80528-3401 Ph: (970) 226-6705 | Advanced Neurology Of Colorado, Llc 1551 Professional Ln Unit 125 Longmont CO 80501-6971 Ph: (970) 226-6111 |
| NPI Number | 1386365641 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386365641 | NPI | - | NPPES |
| 00609048 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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