Organization
HALEH NEKOORAD-LONG,M.D.,P.C.
Active
Other names
Colorado Mood and Memory Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALEH NEKOORAD-LONG M.D. (PRESIDENT)
(303) 682-9197
Entity
Organization
Contact information
Practice address
1308 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 682-9197
Mailing address
1308 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 682-9197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41484
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952492571
INDIVIDUAL NPI
CO
Enumeration date
03/19/2008
Last updated
03/19/2008
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