| NPI | 1831515311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS SHEPARD Owner/Brain Health Specialist 719-661-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG |
| Additional Taxonomies | 251S00000X (Licence: CO NLC0104292) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2023-09-06 |