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Search › Colorado › 103G00000X

Timothy Brunelle

NPI 1225488349 · on the registry since 2016 · sole proprietor

Practice

Address
255 Canyon Blvd Ste 200
Boulder, CO 80302
Phone
(720) 744-0577
Organisation at this address
Icn Pllc
Neuroworks Llc
Jla Medical Services
The Mind Embodied Pc
Mitchell A Baris, Ph D, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado