Organization
ROCKY MOUNTAIN NEUROSURGERY, P.C.
Active
Parent organization
ROCKY MOUNTAIN NEUROSURGERY, P.C.
Other names
Rocky Mountain Neurosurgery, PC DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKY MOUNTAIN NEUROSURGERY, P.C.
Authorized official
DEE GOODMAN (BILLING MANAGER)
(970) 222-9745
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST, LONE TREE, CO 80124-2888
(720) 484-6908
(720) 484-6918
Mailing address
9695 S YOSEMITE ST, LONE TREE, CO 80124-2888
(720) 484-6908
(720) 484-6918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42315
MEDICAL LICENSE
CO
05
—
89582578
—
CO
01
—
C525688
MEDICARE
CO
Enumeration date
02/11/2015
Last updated
02/11/2015
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