Organization
THE BRAIN CENTER OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WHIRL JR. CHT (OWNER)
(719) 452-9808
Entity
Organization
Contact information
Practice address
404 JERRY ST, CASTLE ROCK, CO 80104-2468
(719) 452-9808
Mailing address
322 MISSION HILL WAY, COLORADO SPRINGS, CO 80921-3238
(719) 452-9808
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
NLC.0013119
CO
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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