Organization
NEUROLOGICIOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FLORES CNIM ACP (CEO)
(303) 956-9035
Entity
Organization
Contact information
Practice address
10940 S PARKER RD, 503, PARKER, CO 80134-7440
(303) 956-9035
Mailing address
10940 S PARKER RD, 503, PARKER, CO 80134-7440
(303) 956-9035
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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