Organization
WESTERN NEUROLOGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE RUSSO (PERSONNEL MANAGER)
(303) 839-6279
Entity
Organization
Contact information
Practice address
1601 E 19TH AVE, SUITE 4400, DENVER, CO 80218-1216
(303) 861-2266
(303) 830-7054
Mailing address
1601 E 19TH AVE, SUITE 4400, DENVER, CO 80218-1216
(303) 861-2266
(303) 830-7054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006185
—
CO
Enumeration date
05/22/2007
Last updated
05/29/2008
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