Organization
ADVANCED NEUROLOGY OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MICHAEL MILLER (SITE MANAGER)
(970) 227-6333
Entity
Organization
Contact information
Practice address
1551 PROFESSIONAL LN UNIT 125, LONGMONT, CO 80501-6971
(970) 226-6111
(970) 226-6707
Mailing address
2121 E HARMONY RD UNIT 180, FORT COLLINS, CO 80528-3401
(970) 226-6705
(970) 226-6707
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00609048
—
CO
Enumeration date
09/06/2022
Last updated
09/06/2022
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