Neurology Institute Of Colorado, Pllc | |
433 Summit Blvd Unit 201 Broomfield CO 80021-8299 | |
(830) 896-8080 | |
Not Available |
Full Name | Neurology Institute Of Colorado, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 433 Summit Blvd Unit 201, Broomfield, Colorado |
Authorized Official Name and Position | Suzanne K Gazda (MD/OWNER) |
Authorized Official Contact | 8308968080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Institute Of Colorado, Pllc Po Box 293879 Kerrville TX 78029-3879 Ph: (830) 896-8080 | Neurology Institute Of Colorado, Pllc 433 Summit Blvd Unit 201 Broomfield CO 80021-8299 Ph: (830) 896-8080 |
NPI Number | 1487282992 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 03/30/2020 |
Certification Date | 03/30/2020 |
Medicare PECOS PAC ID | 7911337274 |
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Medicare Enrollment ID | O20200429000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487282992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
Provider Name | Suzanne Klaus Gazda |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740286764 PECOS PAC ID: 5395782320 Enrollment ID: I20200429000387 |
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