Organization
MOUNTAIN STATES NEUROLOGY, PC
Active
Other names
COLORADO NEUROLOGY, PC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MILLAZZO (PRACTICE ADMINISTRATOR)
(303) 762-6666
Entity
Organization
Contact information
Practice address
701 E HAMPDEN AVE SUITE #530, ENGLEWOOD, CO 80113
(303) 788-4600
Mailing address
701 E HAMPDEN AVE SUITE #530, ENGLEWOOD, CO 80113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003800301
NPI
CO
01
—
1053305656
NPI
CO
01
—
1245223296
NPI
CO
01
—
1255324208
NPI
CO
01
—
1346233384
NPI
CO
01
—
1417940453
NPI
CO
01
—
1457345746
NPI
CO
01
—
1457345753
NPI
CO
01
—
1790778744
NPI
CO
05
—
4012126
—
CO
Enumeration date
06/26/2006
Last updated
07/21/2022
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