Healthcare Provider Details
I. General information
NPI: 1770175465
Provider Name (Legal Business Name): CAREPOINT NEUROSURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11650 W 2ND PL
LAKEWOOD CO
80228-1527
US
IV. Provider business mailing address
PO BOX 172263
DENVER CO
80217-2263
US
V. Phone/Fax
- Phone: 720-441-4021
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
SMITH
Title or Position: VP/GENERAL COUNSEL
Credential:
Phone: 303-436-2720