| NPI | 1407283203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BUCHMAN Billing Manager 346-221-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2022-07-21 |