Organization
BLUE SKY OUTPATIENT NEUROLOGY, LLC
Active
Parent organization
BLUE SKY NEUROSCIENCES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE SKY NEUROSCIENCES, LLC
Authorized official
DR. IRA CHANG MD (CEO)
(303) 781-4485
Entity
Organization
Contact information
Practice address
499 E HAMPDEN AVE, SUITE 360, ENGLEWOOD, CO 80113-2780
(303) 781-4485
(720) 274-0064
Mailing address
499 E HAMPDEN AVE, SUITE 360, ENGLEWOOD, CO 80113-2780
(303) 781-4485
(720) 274-0064
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80634273
—
CO
Enumeration date
05/01/2009
Last updated
11/19/2009
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