Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FORM MEDICAL, PLLC
Active OrganizationFORM MEDICAL, PLLC is a Neuromuscular Medicine organization located in DENVER, Colorado. NPI 1831616390 is currently active in the NPPES registry. Verify at CMS.
Neuromuscular Medicine · DENVER, CO
Registration Details
- NPI Number
- 1831616390
- Provider Type
- Organization
- NPI Issued
- Aug 25, 2017 (8.7870053501923 yrs)
- Last Updated
- Jul 21, 2022
- License
-
DR.0058123 (CO)
Practice Information
- Address
-
1525 RALEIGH ST STE 220DENVER, CO, 802041374Browse CO providers · Browse ZIP 80204
- Phone
- 7203709559
- Primary Specialty
-
Neuromuscular Medicine
2081N0008X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.