| Chpg Neuroscience Avista | |
|
80 Health Park Dr Ste 270 Louisville CO 80027-4644 | |
| (303) 925-4060 | |
| (303) 925-4061 |
| Full Name | Chpg Neuroscience Avista |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 80 Health Park Dr Ste 270, Louisville, Colorado |
| Authorized Official Name and Position | Angela J Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chpg Neuroscience Avista Po Box 801106 Kansas City MO 64180-1106 Ph: (800) 953-0104 | Chpg Neuroscience Avista 80 Health Park Dr Ste 270 Louisville CO 80027-4644 Ph: (303) 925-4060 |
| NPI Number | 1801531652 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801531652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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