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Anthony Richard Declusin, MD
Neurology Physician in Longmont, Colorado
NPI 1669977997

Anthony Richard Declusin is a Neurology Physician based in Longmont, CO and is specialized in Neurology. Anthony Richard Declusin practices in Longmont, CO and has the professional credentials of MD. The NPI Number for Anthony Richard Declusin is 1669977997 and holds a License No. DR.0066615 (Colorado).

The current practice location address for Anthony Richard Declusin is 1925 Mountain View Ave, Longmont, CO and can be reached out via phone at 720-718-8070 and via fax at 720-494-3107.

Location: 1925 Mountain View Ave, Longmont, CO, 80501-3128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669977997
Provider Name
Anthony Richard Declusin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1925 Mountain View Ave, Longmont, CO, 80501-3128
Phone Number
720-718-8070
Fax Number
720-494-3107
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000163141 05 CO
institution
Provider Business Practice Location Address Details
Address
1925 Mountain View Ave
City
Longmont
State
Colorado
Zip
80501-3128
Phone Number
720-718-8070
Fax Number
720-494-3107
person
Provider Business Mailing Address Details
Address
1925 Mountain View Ave
City
Longmont
State
Colorado
Zip
80501-3128
Phone Number
720-718-8070
Fax Number
720-494-3107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
DR.0066615 (Colorado)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
DR.0066615 (Colorado)
Definition
Definition to come...
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