MEDICARE: PHYSIOM NEUROMONITORING CONSULTANTS

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	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	470	CO

General Provider Information

NPI Number	:	1730307307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOM NEUROMONITORING CONSULTANTS

Provider Business Mailing Address
First Line	:	10940 S PARKER RD
Second Line	:	#130
City	:	PARKER
State	:	CO
Zip	:	80134-7440
Country	:	US
Telephone Number	:	303-426-3927
Fax Number	:

Provider Business Practice Location Address
First Line	:	10940 S PARKER RD
Second Line	:	#130
City	:	PARKER
State	:	CO
Zip	:	80134-7440
Country	:	US
Telephone Number	:	303-426-3927
Fax Number	:	720-876-1315

Authorized Official
Title or Position	:	VP
Name	:	RICHARD A FLORES
Credential	:	CNIM
Telephone Number	:	303-426-3927

Provider Enumeration Date	:	04/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1003034679 — MR. RICHARD A FLORES CNIM
Practice Location Address:

10940 S PARKER RD , #130
PARKER, CO
80134-7440

Practice Phone: 303-426-3927
Practice Fax:

1487862199 — DEVIN REILLY CNIM
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10940 S PARKER RD # 130
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80134-7440

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1093923781 — GLENN OREMUS MS, CNIM
Practice Location Address:

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PARKER, CO
80134-7440

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1255549606 — KRISTIN KRASOWSKI DPT
Practice Location Address:

10940 S PARKER RD # 130
PARKER, CO
80134-7440

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Practice Fax:

1578768883 — PAUL HOPKINS
Practice Location Address:

10940 S PARKER RD # 427
PARKER, CO
80134-7440

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1699100933 — NEUROLOGIC, LLC
Practice Location Address:

10940 S PARKER RD STE 503
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80134-7440

Practice Phone: 877-446-4945
Practice Fax: 866-897-0799

Directions to “PHYSIOM NEUROMONITORING CONSULTANTS ” Practice Location

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