| NPI | 1699098848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G. SHEPPARD Registered Agent 317-849-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |