Blaze Iom Reading, Pllc | |
1511 Onyx Cir Longmont CO 80504-7805 | |
(713) 500-7128 | |
Not Available |
Full Name | Blaze Iom Reading, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1511 Onyx Cir, Longmont, Colorado |
Authorized Official Name and Position | Bruce Katuna (CEO) |
Authorized Official Contact | 7135007128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blaze Iom Reading, Pllc 3102 Maple Ave Ste 450 Dallas TX 75201-1261 Ph: (281) 346-3480 | Blaze Iom Reading, Pllc 1511 Onyx Cir Longmont CO 80504-7805 Ph: (713) 500-7128 |
NPI Number | 1992179394 |
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Provider Enumeration Date | 11/23/2015 |
Last Update Date | 11/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992179394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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