| Wheat Ridge Clinic - Neurology | |
|
3455 Lutheran Pkwy Ste 285 Wheat Ridge CO 80033-6034 | |
| (303) 403-6720 | |
| (720) 616-6983 |
| Full Name | Wheat Ridge Clinic - Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheat Ridge Clinic - Neurology 500 Eldorado Blvd Ste 4300 Broomfield CO 80021-3564 Ph: (303) 272-0566 | Wheat Ridge Clinic - Neurology 3455 Lutheran Pkwy Ste 285 Wheat Ridge CO 80033-6034 Ph: (303) 403-6720 |
| NPI Number | 1225745458 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225745458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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