| NPI | 1417362799 |
|---|---|
| Doing Business As | THE PHOENIX |
| Entity Type | Organization |
| Authorized Contact | ANDREW LOVELAND Owner 720-435-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-03-16 |