| Blue Sky Outpatient Neurology, Llc | |
|
499 E Hampden Ave Suite 360 Englewood CO 80113-2780 | |
| (303) 781-4485 | |
| (720) 274-0064 |
| Full Name | Blue Sky Outpatient Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 499 E Hampden Ave, Englewood, Colorado |
| Authorized Official Name and Position | Ira Chang (CEO) |
| Authorized Official Contact | 3037814485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Outpatient Neurology, Llc 499 E Hampden Ave Suite 360 Englewood CO 80113-2780 Ph: (303) 781-4485 | Blue Sky Outpatient Neurology, Llc 499 E Hampden Ave Suite 360 Englewood CO 80113-2780 Ph: (303) 781-4485 |
| NPI Number | 1215171434 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215171434 | NPI | - | NPPES |
| 80634273 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Colorado) | Primary |
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