| NPI | 1174109359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARSON FAIRBANKS Owner 720-287-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2023-10-17 |