Organization
BLUE SKY NEUROLOGY BST WYOMING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SMITH J.D. (VICE PRESIDENT/GENERAL COUNSEL)
(303) 478-0430
Entity
Organization
Contact information
Practice address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
Mailing address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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