| NPI | 1376972117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ODEM Owner 303-507-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-05-13 |