Organization
CENTENNIAL NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L EWING MD (OWNER)
(970) 356-3876
Entity
Organization
Contact information
Practice address
7251 W 20TH ST UNIT C, GREELEY, CO 80634-4626
(970) 356-3876
(970) 353-8810
Mailing address
7251 W 20TH ST UNIT C, GREELEY, CO 80634-4626
(970) 356-3876
(970) 353-8810
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72735538
—
CO
Enumeration date
08/19/2006
Last updated
04/13/2011
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