BLACKHAWK IOM, LLC

FRANKLIN, WI
NPI1922515477
Entity TypeOrganization
Authorized ContactROXANNA LAROQUE
Director Of Client Experience
210-598-2801
Organization Subpart ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
Additional Taxonomies204R00000X Electrodiagnostic Medicine
2084N0400X Psychiatry & Neurology, Neurology
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2018-01-05
Last Update Date2022-07-15
Business Address
BLACKHAWK IOM, LLC
9969 SOUTH 27TH ST STE 110
FRANKLIN, WI 53132
Phone number: 210-598-4277
Mailing Address
BLACKHAWK IOM, LLC
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone number: 210-598-4277
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