Autumn Spirit PA, Inc
Organization Active NPI Neurological Surgery Physician · Lone Tree, CO
NPI 1497225841 · NPPES record last updated Nov 28, 2018
Key facts
- NPI
- 1497225841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- AUTUMN SPIRIT PA, INC
- Practice address
- 10099 Ridgegate Pkwy
Lone Tree, CO 80124-5531 - Phone
- (303) 790-1800
- Fax
- (303) 790-1809
- NPI assigned
- Nov 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin Louis Boyer, MD
- Title
- Owner
- Phone
- (941) 920-7196
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
10099 Ridgegate Pkwy
Lone Tree, CO 80124-5531
Mailing address
9436 Hidden Pines CT
Parker, CO 80134-4545
Phone (941) 920-7196
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000152452 | Medicaid | CO |
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- Chandler Austin
- Sanford Eldon Avner
- Hassan Awada
- Jessica Laura Axel
- Remington William Ayers
- Judy C Baack
All providers in Lone Tree, CO · Neurological Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.