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LARRY D. TICE MD PC NPI 1558663286


NPI Information

NPI: 1558663286
Provider Name: LARRY D. TICE MD PC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
1120 WELLINGTON AVE
SUITE 206
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 241-8013
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LARRY D. TICE MD PC is a neurological surgery in Grand Junction, CO. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. LARRY D. TICE MD PC NPI is 1558663286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 WELLINGTON AVE
SUITE 206
GRAND JUNCTION, CO
ZIP 81501-129
Phone: (970) 241-8013
Fax: (970) 241-1308

The provider's authorized official is Larry D Tice .
The authorized official title is President and has the following contact phone number (970) 858-2603.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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