Organization
RIVERSIDE FRIENDLY NEUROLOGY INC
Active
Organization
RIVERSIDE FRIENDLY NEUROLOGY INC
Active
Parent organization
PRONERVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRONERVE
Authorized official
STEVEN SEVCIK (VP OF FINANCE)
(303) 339-1499
Entity
Organization
Contact information
Practice address
350 INTERLOCKEN BLVD, SUITE 360, BROOMFIELD, CO 80021-3477
(303) 339-1499
(303) 339-1498
Mailing address
350 INTERLOCKEN BLVD, SUITE 360, BROOMFIELD, CO 80021-3477
(303) 339-1499
(303) 339-1498
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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