Organization
RED CANYON NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (CFO)
(720) 443-6110
Entity
Organization
Contact information
Practice address
4164 AUSTIN BLUFFS PKWY # 613, COLORADO SPRINGS, CO 80918-2928
(720) 443-6110
Mailing address
4164 AUSTIN BLUFFS PKWY # 613, COLORADO SPRINGS, CO 80918-2928
(720) 443-6110
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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