| Neurology Associates Of Northern Colorado | |
|
1221 E Elizabeth St Suite 3 Fort Collins CO 80524-4065 | |
| (970) 482-4373 | |
| (970) 484-5682 |
| Full Name | Neurology Associates Of Northern Colorado |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1221 E Elizabeth St, Fort Collins, Colorado |
| Authorized Official Name and Position | Gerald Clinton Mcintosh (OWNER) |
| Authorized Official Contact | 9704824373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Northern Colorado 1221 E Elizabeth St Suite 3 Fort Collins CO 80524-4065 Ph: (970) 482-4373 | Neurology Associates Of Northern Colorado 1221 E Elizabeth St Suite 3 Fort Collins CO 80524-4065 Ph: (970) 482-4373 |
| NPI Number | 1629136254 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629136254 | NPI | - | NPPES |
| 09082735 | Medicaid | CO | |
| DA6242 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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