| Neurology Institute Of Colorado, Pllc | |
|
433 Summit Blvd Unit 201 Broomfield CO 80021-8299 | |
| (830) 896-8080 | |
| Not Available |
| Full Name | Neurology Institute Of Colorado, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 433 Summit Blvd Unit 201, Broomfield, Colorado |
| Authorized Official Name and Position | Suzanne K Gazda (MD/OWNER) |
| Authorized Official Contact | 8308968080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Institute Of Colorado, Pllc Po Box 293879 Kerrville TX 78029-3879 Ph: (830) 896-8080 | Neurology Institute Of Colorado, Pllc 433 Summit Blvd Unit 201 Broomfield CO 80021-8299 Ph: (830) 896-8080 |
| NPI Number | 1487282992 |
|---|---|
| Provider Enumeration Date | 03/30/2020 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Medicare PECOS PAC ID | 7911337274 |
|---|---|
| Medicare Enrollment ID | O20200429000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487282992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
| Provider Name | Suzanne Klaus Gazda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740286764 PECOS PAC ID: 5395782320 Enrollment ID: I20200429000387 |
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