Provider Demographics
NPI:1932553625
Name:ROCKY MOUNTAIN INTEROPERATIVE NEUROMONITORING LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN INTEROPERATIVE NEUROMONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-471-4690
Mailing Address - Street 1:206 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2318
Mailing Address - Country:US
Mailing Address - Phone:303-471-4690
Mailing Address - Fax:303-471-4697
Practice Address - Street 1:206 W COUNTY LINE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2318
Practice Address - Country:US
Practice Address - Phone:303-471-4690
Practice Address - Fax:303-471-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0049595207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty