| NPI | 1518527613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI BURNINGHAM Billing Office Manager 707-953-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-09-26 |