| Colorado Neuroscience Center Of The Rockies, Pllc | |
|
1635 Foxtrail Dr Suite 215 Loveland CO 80538-9086 | |
| (970) 297-8120 | |
| (970) 776-3294 |
| Full Name | Colorado Neuroscience Center Of The Rockies, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1635 Foxtrail Dr, Loveland, Colorado |
| Authorized Official Name and Position | Terry Mark Himes (CEO) |
| Authorized Official Contact | 9702978120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Neuroscience Center Of The Rockies, Pllc 1635 Foxtrail Dr Suite 215 Loveland CO 80538-9086 Ph: (970) 297-8120 | Colorado Neuroscience Center Of The Rockies, Pllc 1635 Foxtrail Dr Suite 215 Loveland CO 80538-9086 Ph: (970) 297-8120 |
| NPI Number | 1902003676 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902003676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 41631 (Colorado) | Primary |
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