# RED CANYON NEUROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740884410
- **Authorized official:** DOREEN SHINN (CFO)
- **Authorized official phone:** (720) 443-6110

## Contact information

- **Practice address:** 4164 AUSTIN BLUFFS PKWY \# 613, COLORADO SPRINGS, CO 80918-2928
- **Practice address phone:** (720) 443-6110
- **Mailing address:** 4164 AUSTIN BLUFFS PKWY \# 613, COLORADO SPRINGS, CO 80918-2928
- **Mailing address phone:** (720) 443-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204R00000X | Electrodiagnostic Medicine Physician | — | NULL | Yes |
| 204R00000X | Electrodiagnostic Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 11/24/2020