Organization · Type 2 NPI

5280 Iom Pro, LLC

Clinical Neurophysiology Physician · Denver, CO

NPI number 1144779380 Active

Practice location

1700 Bassett St Unit 1021
Denver, CO 80202-1921

Fax (832) 581-4677

Mailing address

PO Box 1651
Crosby, TX 77532-1651

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician Primary 2084N0600XNone listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1144779380

5280 Iom Pro, LLC's National Provider Identifier is 1144779380, issued on Sep 29, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Denver, CO. The record was last updated on Sep 29, 2016.