Organization
LEVEL 1 NEURO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN STAUCET (CO-OWNER)
(518) 221-6349
Entity
Organization
Contact information
Practice address
3141 W 19TH AVE, DENVER, CO 80204-1714
(518) 221-6349
Mailing address
3141 W 19TH AVE, DENVER, CO 80204-1714
(518) 221-6349
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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