| NPI | 1427761857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE PARTRIDGE Admin 729-412-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2024-11-19 |