Organization
MASFERRER NEUROSURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIREYA MASFERRER (ADMINISTRATOR)
(719) 448-9090
Entity
Organization
Contact information
Practice address
306 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 448-9090
(719) 448-9080
Mailing address
306 E DEL NORTE ST, COLORADO SPRINGS, CO 80907-7512
(719) 448-9090
(719) 448-9080
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
30808
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800124
MEDICARE PTAN
CO
Enumeration date
10/05/2006
Last updated
07/31/2013
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