Organization
NEUROLOGICAL ASSOCIATES OF WESTERN COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI FERGUSON (OFFICE MANAGER)
(970) 243-9180
Entity
Organization
Contact information
Practice address
2530 N 8TH ST STE 206, GRAND JUNCTION, CO 81501
(970) 243-9180
(970) 245-2697
Mailing address
2530 N 8TH ST STE 206, GRAND JUNCTION, CO 81501-8858
(970) 243-9180
(970) 245-2697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20923
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007548P
—
CO
01
—
CP3208
MEDICARE ID
—
01
—
CS4166
RAILROAD MEDICARE
—
Enumeration date
07/17/2007
Last updated
08/02/2018
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