Organization
COLORADO BRAIN & SPINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HANNAH PA (DIRECTOR OF CLINICAL OPERATIONS)
(303) 349-7660
Entity
Organization
Contact information
Practice address
500 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2885
(303) 783-8844
(303) 783-2002
Mailing address
500 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2885
(303) 783-8844
(303) 783-2002
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12335355
—
CO
01
—
DF1074
RAILROAD MEDICARE PTAN
—
Enumeration date
06/07/2006
Last updated
03/28/2023
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