| Centennial Neurology, Pllc | |
|
7251 W 20th St Unit C Greeley CO 80634-4626 | |
| (970) 356-3876 | |
| (970) 353-8810 |
| Full Name | Centennial Neurology, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7251 W 20th St Unit C, Greeley, Colorado |
| Authorized Official Name and Position | David L Ewing (OWNER) |
| Authorized Official Contact | 9703563876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Neurology, Pllc 7251 W 20th St Unit C Greeley CO 80634-4626 Ph: (970) 356-3876 | Centennial Neurology, Pllc 7251 W 20th St Unit C Greeley CO 80634-4626 Ph: (970) 356-3876 |
| NPI Number | 1205940871 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205940871 | NPI | - | NPPES |
| 72735538 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Colorado) | Primary |
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