| NPI | 1669050555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND RAWSON Owner 720-287-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-06-24 |