| Pikes Peak Neuro Care, Llc | |
|
816 N Foote Ave Colorado Springs CO 80909 | |
| (719) 338-6715 | |
| Not Available |
| Full Name | Pikes Peak Neuro Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 816 N Foote Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Andrew Benjamin Harris (CHIEF OF OPERATIONS) |
| Authorized Official Contact | 7198881007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikes Peak Neuro Care, Llc Po Box 1945 Colorado Springs CO 80901-1945 Ph: (719) 888-1007 | Pikes Peak Neuro Care, Llc 816 N Foote Ave Colorado Springs CO 80909 Ph: (719) 338-6715 |
| NPI Number | 1780090910 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780090910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 284300000X | Special Hospital | (* (Not Available)) | Secondary |
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