MEDICARE: CHRISTINE I NEELEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	44891	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003827106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE I NEELEY M.D.

Provider Business Mailing Address
First Line	:	1960 OGDEN ST STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3667
Country	:	US
Telephone Number	:	303-318-3840
Fax Number	:	303-318-2490

Provider Business Practice Location Address
First Line	:	1960 OGDEN ST STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3667
Country	:	US
Telephone Number	:	303-318-3840
Fax Number	:	303-318-2490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	11/04/2011

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Directions to “ CHRISTINE I NEELEY M.D.” Practice Location

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