| NPI | 1679900443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY BUSNARDO Credentialing Specialist 303-399-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |