Organization
NEUROLOGICAL SURGERY LTD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT IRA FRIED MD (PRESIDENT)
(303) 455-1803
Entity
Organization
Contact information
Practice address
2460 W 26TH AVE STE 220C, DENVER, CO 80211-5347
(303) 455-1803
(303) 455-2644
Mailing address
2460 W 26TH AVE STE 220C, DENVER, CO 80211-5347
(303) 455-1803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23936
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04984084
—
CO
Enumeration date
12/20/2007
Last updated
12/20/2007
Update your record
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