Organization
DURANGO NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ALBERT VEALS (ADMINISTRATOR)
(970) 828-3600
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 150, DURANGO, CO 81301-7306
(970) 828-3600
(970) 828-3602
Mailing address
1 MERCADO ST, SUITE 150, DURANGO, CO 81301-7306
(970) 828-3600
(970) 828-3602
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334010
—
IN
Enumeration date
12/20/2011
Last updated
12/20/2011
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