| NPI | 1962740274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ADCOX Owner 907-202-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 204R00000X Electrodiagnostic Medicine | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2017-05-01 |