| NPI | 1609380922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NILES RUBINSON Manager/Co Owner 719-930-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |