| Pediatric Neurology And Epilepsy Specialists, Pllc | |
|
2055 N High St Ste 300 Denver CO 80205-5568 | |
| (303) 226-7230 | |
| Not Available |
| Full Name | Pediatric Neurology And Epilepsy Specialists, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2055 N High St Ste 300, Denver, Colorado |
| Authorized Official Name and Position | Alicia Licano (LEAD CREDENTIALING) |
| Authorized Official Contact | 7196381122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neurology And Epilepsy Specialists, Pllc 2055 N High St Ste 300 Denver CO 80205-5568 Ph: (303) 226-7230 | Pediatric Neurology And Epilepsy Specialists, Pllc 2055 N High St Ste 300 Denver CO 80205-5568 Ph: (303) 226-7230 |
| NPI Number | 1801611421 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801611421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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