Provider Demographics
NPI:1144529967
Name:WERTZ, ADAM TROY (RPSGT)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:TROY
Last Name:WERTZ
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ALPINE AVE.
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3411
Mailing Address - Country:US
Mailing Address - Phone:303-248-3581
Mailing Address - Fax:303-248-3589
Practice Address - Street 1:1000 ALPINE AVE.
Practice Address - Street 2:SUITE 220
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3411
Practice Address - Country:US
Practice Address - Phone:303-248-3581
Practice Address - Fax:303-248-3589
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic