Organization
TRAUMATIC BRAIN INJURY OF SOUTHERN COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H EVANS PHD (OWNER)
(719) 520-1102
Entity
Organization
Contact information
Practice address
4117 N ELIZABETH ST, PUEBLO, CO 81008-2009
(719) 520-1102
(719) 302-6686
Mailing address
402 W BIJOU ST, SUITE C, COLORADO SPRINGS, CO 80905-1309
(719) 520-1102
(719) 302-6686
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
10/10/2007
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