Organization
NORTHWEST NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDI HYNES (BILLING MGR)
(303) 426-0215
Entity
Organization
Contact information
Practice address
90 HEALTH PARK DR, LOUISVILLE, CO 80027-9757
(303) 426-0215
(303) 426-4003
Mailing address
90 HEALTH PARK DR., 390, LOUISVILLE, CO 80027-9742
(303) 426-0215
(303) 426-4003
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008991
—
CO
Enumeration date
10/31/2006
Last updated
07/21/2022
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