| Alpine Neurology, Pc | |
|
13111 E Briarwood Ave Ste 200 Centennial CO 80112-3846 | |
| (303) 493-1922 | |
| Not Available |
| Full Name | Alpine Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13111 E Briarwood Ave Ste 200, Centennial, Colorado |
| Authorized Official Name and Position | Lee Russo (BILLING MANAGER) |
| Authorized Official Contact | 3038396279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Neurology, Pc 1601 E 19th Ave Suite 4400 Denver CO 80218-1216 Ph: (303) 839-6279 | Alpine Neurology, Pc 13111 E Briarwood Ave Ste 200 Centennial CO 80112-3846 Ph: (303) 493-1922 |
| NPI Number | 1093906760 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 10/11/2017 |
| Medicare PECOS PAC ID | 6901854744 |
|---|---|
| Medicare Enrollment ID | O20050107000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093906760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 32094 (Colorado) | Primary |
| Provider Name | Steven Gulevich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437121613 PECOS PAC ID: 5698661239 Enrollment ID: I20090608000403 |
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