Organization
DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC
Active
Organization
DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC
Active
Other names
Adam J. Wolff MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MOON MD (MANAGING MEMBER)
(303) 715-9024
Entity
Organization
Contact information
Practice address
9980 PARK MEADOWS DR STE 100, LONE TREE, CO 80124-8404
(303) 715-9024
(303) 715-7057
Mailing address
9980 PARK MEADOWS DR STE 100, LONE TREE, CO 80124-8404
(303) 715-9024
(303) 715-7057
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
42593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10733850
—
CO
01
—
P00361949
RAILROAD MEDICARE
CO
Enumeration date
11/26/2007
Last updated
08/31/2023
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