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NPI Code Detail

MEDICARE: INTRANERVE PARTNERS LLC

MEDICARE: INTRANERVE PARTNERS LLC
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
1247200000XOther Technician

General Provider Information

NPI Number : 1366777542
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTRANERVE PARTNERS LLC
Provider Business Mailing Address
First Line : 13 S. TEJON ST.
Second Line : SUITE 501
City : COLORADO SPRINGS
State : CO
Zip : 80903-1530
Country : US
Telephone Number : 719-622-7440
Fax Number :
Provider Business Practice Location Address
First Line : 13 S. TEJON ST.
Second Line : SUITE 501
City : COLORADO SPRINGS
State : CO
Zip : 80903-1530
Country : US
Telephone Number : 719-622-7440
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : JULIE POPELAR
Credential :
Telephone Number : 719-622-7440
Provider Enumeration Date : 10/06/2009
Last Update Date : 08/29/2014

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Directions to “INTRANERVE PARTNERS LLC ” Practice Location

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