Organization
NEURO CONSULTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY WAKEMAN (OWNER)
(970) 405-0319
Entity
Organization
Contact information
Practice address
7325 W COUNTY ROAD 20, LOVELAND, CO 80537-9310
(970) 405-0319
Mailing address
PO BOX 503, MILLIKEN, CO 80543-0503
(970) 405-0319
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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