| NPI | 1821341710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE KILMER Manager 623-335-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2017-02-06 |