| NPI | 1902103245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M DEARDORFF President 520-261-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |