| Denver Neurological Clinic Professional Llc | |
|
9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 | |
| (303) 715-9024 | |
| (303) 715-5020 |
| Full Name | Denver Neurological Clinic Professional Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 9980 Park Meadows Dr Ste 100, Lone Tree, Colorado |
| Authorized Official Name and Position | Justin Moon (OWNING PHYSICIAN) |
| Authorized Official Contact | 3037159024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Neurological Clinic Professional Llc 9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 Ph: (303) 715-9024 | Denver Neurological Clinic Professional Llc 9980 Park Meadows Dr Ste 100 Lone Tree CO 80124-8404 Ph: (303) 715-9024 |
| NPI Number | 1275131021 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275131021 | NPI | - | NPPES |
| 9000166943 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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