Individual
WADE M CEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPGS, CO 81601-4227
(970) 384-6770
(970) 384-6610
Mailing address
1906 BLAKE AVE, GLENWOOD SPGS, CO 81601-4227
(970) 384-6770
(970) 384-6610
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2001013105
MO
207T00000X
Neurological Surgery Physician
Primary
53071
CO
207T00000X
Neurological Surgery Physician
E1615
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02080001300
QUAL CHOICE
MO
01
—
0214842
DEPARTMENT OF LABOR WA
WA
01
—
0600090
UNITED HEALTHCARE
MO
01
—
13751
COX HEALTH PLANS UPI
MO
01
—
143659
BLUE CROSS/CHOICE
MO
05
—
148899001
—
AR
01
—
18942
COX HEALTH PLANS
MO
05
—
205393804
—
MO
01
—
2950416001
CIGNA HEALTHCARE
MO
01
—
4188130001
CIGNA MEDICARE
MO
01
—
468970
HEALTHLINK
MO
05
—
51383527
—
CO
01
—
5M325
HEALTH ADVANTAGE
AR
01
—
H36801
USPS (W/C)
MO
Enumeration date
05/30/2006
Last updated
05/14/2015
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