Organization · Type 2 NPI
Western Colorado Professional Neuromonitoring
Electroneurodiagnostic Specialist/Technologist · Fairbanks, AK
NPI number
1174855928
Active
Practice location
2580 Allen Adale Rd
Fairbanks, AK 99709-2580
Fax (225) 612-6561
Mailing address
PO Box 413136
Salt Lake City, UT 84141-3136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
Another provider at this address
Other electroneurodiagnostic specialist/technologist providers in Fairbanks
About NPI 1174855928
Western Colorado Professional Neuromonitoring's National Provider Identifier is 1174855928, issued on Feb 4, 2010. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 6, 2017.