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Organization

NEUROSURGERY ONE PC

Active
Other names
NSO MD Lakewood
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ADAIR PRALL MD (OWNER/PRESIDENT)
(720) 638-7500
Entity
Organization

Contact information

Practice address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(720) 638-7500
Mailing address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(720) 638-7500

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
04/10/2020
Last updated
04/10/2020
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