Organization
MARVOSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH MCPHERSON MD (PRESIDENT)
(720) 452-7771
Entity
Organization
Contact information
Practice address
757 E 20TH AVE, STE 370, #501, DENVER, CO 80205-3278
(720) 452-7771
Mailing address
757 E 20TH AVE, STE 370, #501, DENVER, CO 80205-3278
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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