Boulder Valley Neurlogy Inc

NPI 1457493660 - Psychiatry & Neurology - 2084N0008X

NPI Details
NPI 1457493660
Enumeration Date 02/13/2007
Last Updated 01/03/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS M THOMAS
Position OWNER
Phone (303) 926-1015
Fax (303) 926-1032
Practice Location
1044 S 88TH ST
SUITE 102
LOUISVILLE CO, 80027-9417, US
Phone (303) 926-1015
Fax (303) 926-1032
Business Location
1044 S 88TH ST
SUITE 102
LOUISVILLE CO, 80027-9417, US
Phone (303) 926-1015
Fax (303) 926-1032
Toxanomy
Taxonomy Code 2084N0008X
License State Colorado
License Number 42528
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According to our database, Boulder Valley Neurlogy Inc NPI is 1457493660, taxonomy code is 2084N0008X and license number is 42528, license state is located at Colorado. Boulder Valley Neurlogy Inc physically located at 1044 S 88th St, Louisville CO, 80027-9417. NPI Number 1033115704 has the healthcare provider type.

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1457493660 NPI number is provided on an as is basis without warranty of any kind. 1457493660 is maintained by the National Plan & Provider Enumeration System. The contents of Boulder Valley Neurlogy Inc are for informational purposes only.