Organization
NEUROLOGIC, LLC
Active
Parent organization
NEUROLOGIC, LLC
Other names
NeuroLogic IOM
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROLOGIC, LLC
Authorized official
GLENN OREMUS (COO)
(303) 888-4384
Entity
Organization
Contact information
Practice address
10940 S PARKER RD STE 503, PARKER, CO 80134-7440
(877) 446-4945
(866) 897-0799
Mailing address
10940 S PARKER RD STE 503, PARKER, CO 80134-7440
(877) 446-4945
(866) 897-0799
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
03/04/2024
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