Madison Street Provider Network INC
NPI #1033716212 in Louisville, Colorado
Provider Information
- NPI Number
- 1033716212
- Entity Type
- Organization
- Organization Name
- Madison Street Provider Network INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MADISON STREET PROVIDER NETWORK INC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Oct 1, 2020
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 1371 HECLA DR STE C
- City
- Louisville
- State
- Colorado
- ZIP Code
- 80027-2318
- Phone
- (303) 666-7226
Authorized Official
- Name
- GEORGE L NEAL
- Title
- PRESIDENT
- Phone
- (469) 214-0144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Ophthalmology |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Donald L. Kellum, M.D. | |
| DR. Richard A Levinson, M.D. | |
| Carl B Tubbs, M.D. | |
| MR. John D Kirk, M.D. |
Organizations
| Provider Name | |
|---|---|
| Eldorado Retina Associates, P.c. |
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