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Organization

COLORADO NEURODIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIHAELA G ALEXANDER MD (PRESIDENT)
(303) 907-4239
Entity
Organization

Contact information

Practice address
7188 S MAGNOLIA CIR, CENTENNIAL, CO 80112-6044
(303) 907-4239
(303) 644-5015
Mailing address
PO BOX 131, BENNETT, CO 80102-0131
(303) 644-5015

Taxonomy

Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
41898
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41898
COLORADO PHYSICIAN LICENS
CO
Enumeration date
08/25/2006
Last updated
08/22/2020
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