| NPI | 1639554371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SMOLENYAK Practice Administrator 303-704-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-10-05 |