| NPI | 1427665280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PUTNAM Owner 907-230-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |