| Neurospecialty Associates Pc | |
|
8585 W 14th Ave Ste A Lakewood CO 80215-4860 | |
| (303) 629-5600 | |
| (303) 623-5151 |
| Full Name | Neurospecialty Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8585 W 14th Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Ernest Edward Nitka (PARTNER) |
| Authorized Official Contact | 3036295600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurospecialty Associates Pc 8585 W 14th Ave Ste A Lakewood CO 80215-4860 Ph: (303) 629-5600 | Neurospecialty Associates Pc 8585 W 14th Ave Ste A Lakewood CO 80215-4860 Ph: (303) 629-5600 |
| NPI Number | 1790909893 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909893 | NPI | - | NPPES |
| 04015558 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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