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WADE M CEOLA M.D.

>> Neurological Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1669429049

Individual Registrant:
 WADE M CEOLA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1906 BLAKE AVE  GLENWOOD SPGS, CO 81601-4227 US
Tel: 970-384-6770  Fax: 970-384-6610

Contact information for business:
1906 BLAKE AVE  GLENWOOD SPGS, CO 81601-4227 US
Tel: 970-384-6770  Fax: 970-384-6610

Registration Information:
NPI: 1669429049
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207T00000XAllopathic & Osteopathic Physicians
Neurological Surgery
MO2001013105
N207T00000XAllopathic & Osteopathic Physicians
Neurological Surgery
ARE1615
Y207T00000XAllopathic & Osteopathic Physicians
Neurological Surgery
CO53071

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
QUAL CHOICE02080001300MO01
HEALTH ADVANTAGE5M325AR01
148899001AR05
205393804MO05
DEPARTMENT OF LABOR WA0214842WA01
COX HEALTH PLANS18942MO01
CIGNA HEALTHCARE2950416001MO01
51383527CO05
USPS (W/C)H36801MO01
HEALTHLINK468970MO01
UNITED HEALTHCARE0600090MO01
BLUE CROSS/CHOICE143659MO01
ARKANSAS BC/BS5M325AR01
COX HEALTH PLANS UPI13751MO01
CIGNA MEDICARE4188130001MO01
ARKANSAS FIRST SOURCE5M325AR01




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