| NPI | 1134746084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BRADLEY VINSON Manager 479-713-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2022-06-28 |