Organization
COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE V PAVOT D.O. (OWNER)
(303) 485-3535
Entity
Organization
Contact information
Practice address
600 S AIRPORT RD, SUITE E, BLDG. B, LONGMONT, CO 80503-6424
(720) 491-3322
(720) 684-6715
Mailing address
600 S AIRPORT RD, SUITE E, BLDG. B, LONGMONT, CO 80503-6424
(720) 491-3322
(720) 684-6715
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
41261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02306719
—
CO
Enumeration date
12/15/2006
Last updated
01/13/2015
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