| Colorado Institute For Neuromuscular And Neurological Disorders, Pllc | |
|
600 S Airport Rd Suite E, Bldg. B Longmont CO 80503-6424 | |
| (720) 491-3322 | |
| (720) 684-6715 |
| Full Name | Colorado Institute For Neuromuscular And Neurological Disorders, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 S Airport Rd, Longmont, Colorado |
| Authorized Official Name and Position | Pierre V Pavot (OWNER) |
| Authorized Official Contact | 3034853535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Institute For Neuromuscular And Neurological Disorders, Pllc 600 S Airport Rd Suite E, Bldg. B Longmont CO 80503-6424 Ph: (720) 491-3322 | Colorado Institute For Neuromuscular And Neurological Disorders, Pllc 600 S Airport Rd Suite E, Bldg. B Longmont CO 80503-6424 Ph: (720) 491-3322 |
| NPI Number | 1790847705 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 8224055058 |
|---|---|
| Medicare Enrollment ID | O20051031000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790847705 | NPI | - | NPPES |
| 02306719 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 41261 (Colorado) | Primary |
| Provider Name | Pierre V Pavot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285631440 PECOS PAC ID: 8022900760 Enrollment ID: I20040326000987 |
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