| Blaze Iom Reading, Pllc | |
|
1511 Onyx Cir Longmont CO 80504-7805 | |
| (713) 500-7128 | |
| Not Available |
| Full Name | Blaze Iom Reading, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1511 Onyx Cir, Longmont, Colorado |
| Authorized Official Name and Position | Bruce Katuna (CEO) |
| Authorized Official Contact | 7135007128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaze Iom Reading, Pllc 3102 Maple Ave Ste 450 Dallas TX 75201-1261 Ph: (281) 346-3480 | Blaze Iom Reading, Pllc 1511 Onyx Cir Longmont CO 80504-7805 Ph: (713) 500-7128 |
| NPI Number | 1992179394 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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