Denver Neurological Clinic Professional Llc | |
9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 | |
(303) 715-9024 | |
(303) 715-5020 |
Full Name | Denver Neurological Clinic Professional Llc |
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Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
Location | 9980 Park Meadows Dr Ste 100, Lone Tree, Colorado |
Authorized Official Name and Position | Justin Moon (OWNING PHYSICIAN) |
Authorized Official Contact | 3037159024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Denver Neurological Clinic Professional Llc 9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 Ph: (303) 715-9024 | Denver Neurological Clinic Professional Llc 9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 Ph: (303) 715-9024 |
NPI Number | 1275131021 |
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Provider Enumeration Date | 10/14/2020 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275131021 | NPI | - | NPPES |
9000166943 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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