| NPI | 1114189446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAROMI DHUPAR-SAKURAI Owner/President 970-818-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 363A00000X Physician Assistant (Licence: CO 1512) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2015-02-19 |