| Colorado Neurodiagnostics, Llc | |
|
11001 W 120th Ave Ste 400 Broomfield CO 80021-3494 | |
| (720) 597-3300 | |
| (720) 554-8085 |
| Full Name | Colorado Neurodiagnostics, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11001 W 120th Ave Ste 400, Broomfield, Colorado |
| Authorized Official Name and Position | Allison R Gray (OWNER) |
| Authorized Official Contact | 7205973300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Neurodiagnostics, Llc 11001 W 120th Ave Ste 400 Broomfield CO 80021-3494 Ph: (720) 597-3300 | Colorado Neurodiagnostics, Llc 11001 W 120th Ave Ste 400 Broomfield CO 80021-3494 Ph: (720) 597-3300 |
| NPI Number | 1255194791 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255194791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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